ARUN UNNIKRISHNAN ASST PROFESSOR PANNA DHAI MAA SUBHARTI NURSING COLLEGE DEFINITION Juvenile diabetes mellitus is now more commonly called type1 diabetes It is a syndrome with disordered metabolism and inappropriately high blood sugar levels due to a deficiency of insulin secretion in th ID: 916146
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JUVENILE DIABETES MELLITUS
ARUN UNNIKRISHNAN
ASST.
PROFESSOR
PANNA
DHAI MAA SUBHARTI NURSING COLLEGE
Slide2DEFINITION
Juvenile diabetes mellitus is now more commonly called type-1 diabetes.
It is a syndrome with disordered metabolism and inappropriately high blood sugar levels due to a deficiency of insulin secretion in the pancreas.
Little or no insulin
Slide3CLASSIFICATION
Type I :-
-which is juvenile onset diabetes
-is insulin dependent
-complicated with
ketoacidosis
.
Type II :-
-previously termed as adult onset diabetes
-is non-insulin dependent
-not complicated with
ketoacidosis
.
Gestational diabetes mellitus.
Slide4DIFFERENCE BETWEEN ADULT AND JUVENILE DIABETES
JUVENILE
ADULT
RAPID IN ONSET.
ONSET IS INSIDIOUS.
NO
ROLE OF OBESITY
OBESITY
HAS MAJOR ROLE
NEED INJECTABLE INSULIN
PATIENT RESPONSE TO ORAL HYPOGYCEMIC
AGENTS
DIABETIC CONTROL ALONE NEVER WORKS
IN CHILDREN
DIABETIC
CONTROL ALONE WORKS
Slide5ETIOLOGY
Unknown
Genetic/ hereditary
Disorders of pancreas
- pancreatitis,
pancreatopathy
, surgery.
Endocrinopathies
-
cushings
syndrome, hyper
thyroidism
etc.
Infections like rubella, mumps etc.
Drugs like
thiazide
, steroids etc.
Slide6CLINICAL FEATURESpolyurea
polydypsiapolyphagia
weight loss
weakness\ fatigue
Slide7CONT…blurred vision irritability
nausea and vomittingfainting attacks
restless
Slide8DIAGNOSTIC EVALUATIONHistory collection
Blood sugar examination (FBS, RBS, PPBS)Urine for glucose and ketone
Glucose tolerance test[GTT]
Glycosylated
Haemoglobin
Serum lipids
Ophthalmic check ups
Slide9COMPLICATIONS
Diabetic coma
Ketoacidosis
Growth failure
Delayed sexual maturation
Ophthalmic retinopathy
Neuropathy
Vascular-hypertension,
artherosclerosis
Hepatomegaly
Slide10MEDICAL MANAGEMENTThere is no cure for juvenile diabetes
Insulin injection is the only treatment
If the blood sugar level high insulin infusion are given
Antibiotics to prevent infection
Exercise
Slide11DIETARY MANAGEMENT
Slide12MORNING
1cup
tea or coffee ( no added sugar)
BREAKFAST
2wheat
chapathies
1 small
piece of cheese (15
gms
)
½ cup cooked mixed vegetables
½ cup
dahi
( skim milk based)
1 cup tea/coffee with a little milk no sugar
MID-MORNING
½ banana medium size
LUNCH
½
cup strained
soup
2 wheat
chapathies
½ cup
pulav
½ cup cauliflower
bhaji
½ cup cooked
bhindi
½ cup
tur
dal
( thick)
½ cup
dahi
( skimmed milk)
Salad.
Slide13AFTERNOON-TEA
2-4
biscuits
1 cup tea/coffee with little milk ( no sugar)
DINNER
2
chapaties
1 cup cooked rice
½ cup fenugreek (
methi
)
bhaji
½ cup (cluster beans)
gawar
bhaji
1 cup
arhar
dal
( thin watery)
1 cup
dahi
( skim milk base)
Salad
BED-TIME
½ cup whole milk
Slide14NURSING MANAGEMENT
Assess the condition of patient
Check the blood sugar level
Check the signs and symptoms of dehydration
Assess for complications
Advice regarding dietary control
Slide15Advice to do exercise
Clear the doubts of the patientTeach self monitoring of glucose
Maintain I/O and blood sugar charting
Administer insulin as per doctors order
Slide16BIBLIOGRAPHY
Marlow Dorothy R, ‘ Text Book of Paediatric
Nursing’
Elseiver
Publications. 8
th
edition. Page no:- 1428-1433.
Wongs
‘Text Book of
Paediatrics’
Elseiver
Publications. Page no:- 1258.
Suraj
Guptae
, ‘Text Book of
Paediatrics’
Jaypee
Brothers publications. Page no:- 854-859.
www.google.com/diabetes
www.wikipedia.com/juvenile diabetes/
www.pubmed.com/juvenile diabetes
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