Sunday, January 29, 2023

High incidence of pediatric type 2 diabetes may be considered a public health problem

Experts warn, “These bodies are not mature enough to deal with type 2 diabetes.”

Director, Department of Endocrinology, Medical Sciences Campus, Dr. Margarita Ramirez Vic. Photo: Journal of Medicine and Public Health.

rates are on diabetes are dangerous in Puerto Rico, a study by the Aberth Health Laboratory, in conjunction with the Puerto Rican Association of diabetes in which it was found that almost half of the population (48%) have or may have diabetes on the island.

Specifically, studies report that 20% of the population suffer from the disease and the remaining 28% are prediabetic patients, with a higher incidence in child and adolescent populations.

In an exclusive interview for Revista de Medicina Y public healthWe spoke with Dr. Margarita Ramirez Vic, director of the department endocrine Medical Science Complex, further assures about the fact that “we are seeing a lot of obesity and sedentary lifestyle in children”.

a generational problem

Experts assure that: “The problem is being seen that these children who start diabetes development of complications of type 2, in childhood or early adolescence diabetes long ago (…) those bodies are not mature enough to deal with a diabetes Type 2,” he says.

These complications are on the rise and Martinez points out that they directly affect the following generations: “We’re going to have a whole generation of young people who aren’t going to reach age 50, or they’re going to be on dialysis with amputations ( ..) It’s very sad. It’s very serious and parents don’t realize the magnitude of the problem, and the children who come will be disabled, what’s worst, they won’t be able to lead normal active lives or be productive. Be,” he says.

This can be directly seen as a problem public health On which the administration and common people should pay attention.

Why is the incidence observed in the child population?

Doctor. Martinez points out, those have to do with cultural changes, ensuring that earlier populations were more active and now, evidence shows that child and adolescent populations are exposed to mobile devices and social networks and are limiting how active they are. We do.

“In our time, one was always on the street, mothers had to shout three times at five o’clock in the afternoon to get them to come to eat. Everything to phones, to handheld games, no physical activity, plus the diet we’re currently on, we know it’s terrible,” Martinez says.

parental responsibility?

Data from the American Association of diabetesIt is estimated that about 600 thousand people suffer from one type. diabetes in Puerto Rico, and more than a third of these patients diabetes Type 2.

“Unfortunately parents, you see how after school they’re taking them to Burger King, those kinds of places, so it makes these kids obese, which makes them diabetes Type 2″, emphasizes Martinez.

Now, it is important to mention that diabetes Type 2 was not evident in children who presented with type 1 in the majority. Dr. Martinez comments that this has marked a marked change in pediatricians’ case care: “Pediatricians have to learn to manage diabetes type 2 because they had never seen it”, he says, adding that this incidence and incidence in the said population, “have been seen for about 15 years”.

Complications of Diabetes: Heart

Much has been said about the complications and effects of treatment in diabetic patients. we know that diabetes This brings with it effects on the heart, nervous, renal and nervous systems. A lack of sugar or a malfunction of the body is decisive in the production and regulation of insulin.

However, according to Dr. Martinez, the biggest complication in patients with diabetes is clearly in the cardiovascular system: “The biggest mortality is not in kidney complications, but in cardiac complications because at this time a person can die from a heart attack.” In kidney problems, dialysis can usually prolong a patient’s life, but a person can die early from cardiac causes”, he says.

Martinez points out that in the case of patients with diabetes, “it’s no different than any other patient with heart disease,” he adds: “They already have that high risk, so it’s important that every patient, who has Including prediabetes, a regular check-up with a cardiologist is not necessary, as in a non-diabetic patient”, he assures.

For his part, he explains that the non-diabetic patient: “Usually when he starts to suffer from the heart condition known as angina pectoris, he tires more easily, he gets tired. In diabetic patients, this does not necessarily give typical chest pain and becomes abnormal. Especially if the patient has diabetic neuropathy, he or she may not feel the chest pain like a patient who does not have diabetes, So it can fall to the ground without warning,” says the expert.

Complications of Diabetes: Neuropathy

In the case of neuropathy, it is clear to explain that some people may present with discomfort in the feet and loss of sensation in the lower extremities, loss of balance and frequent falls and without warning: Neuropathy can occur at the level where you won’t feel chest pain,” Martinez says.

Therefore, it is important not only to have good control diabetesBut blood pressure, as well as cholesterol control, and lifestyle changes: exercising, taking care of your diet: “People don’t understand how important it is to walk at least 20 minutes a day and avoid ” Getting into these processes,” he explains.

Now, it’s important to mention that at check-ups, experts will first look for changes in glucose: “When our glucose is too high, you may feel like your legs are falling asleep, have a runny nose, or like you’re walking on pins.” were glued, and may improve once they are under control diabetesSo for normal sugars, one should not have neuropathy, unless the patient has been uncontrolled for so many years that they already have neurological damage that is irreversible, and even if that patient is controlled, they may still have neuropathy. ,” he clarified.

As if this were not enough, one of the characteristics of neuropathy is the development of diabetic foot, a fairly common derivation of the disease with doctor’s guess. “60% can have it and it will correlate with uncontrolled sugar. That’s why an uncontrolled patient usually has these sensation problems,” he says.

Complications of Diabetes: Retinopathy

Diabetic retinopathy is one of the main causes of blindness and visual impairment in Puerto Rico and many parts of the world. “The diabetic patient needs multidisciplinary and team treatment and supervision,” says Martinez: “The problem of retinopathy, which most commonly affects the eye area in diabetics, begins at the prediabetes stage.”

This is how endocrinologists usually recommend that “patients, since they are diagnosed with prediabetes, go to an ophthalmologist annually,” emphasizes the expert. He states that “it is somewhat progressive, and it is a condition that if one is well controlled from the beginning (sugar) should not occur, or if it does, it may occur much later in the condition.” happens in,” he concluded.

Watch the full interview here:

Nation World News Desk
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