For a child, having some type of diabetes does not mean losing quality of life. However, to ensure that your lifestyle stays like that of others It is necessary to modify feeding habits, promote an education that appeal to responsibility and guide self-confidence, discipline and autonomy.
Gisela Ayala, executive director of the Mexican Diabetes Federation, considers that it does not matter if it is type I or II, diabetes is a disease in the "Who is in charge of 90 percent of the cure is who lives with her." In the case of children, the family is very important, but the goal to be raised with them is what be responsible for your body and know how to make your decisions because they are immediately reflected in their health.
In Mexico, the picture of diabetes is not encouraging. According to the Statistical Annex of the VI Report of the Government of the Federal Executive Power, Between 2010 and 2018, the annual average of new cases of diabetes was 402 thousand. On the other hand, Inegi has a record of 1,370,000 deaths between 2000 and 2017 due to this suffering.
Ayala relates that until a couple of decades ago, the cases of most recurrent children's diabetes in Mexico were type I, which is an autoimmune condition without a form of prevention, that is, the body attacks itself and in this case those who resent the damage are Insulin-producing cells in the pancreas.
However, the childhood obesity epidemic has caused the type II diabetes take the lead regarding the number of cases. According to figures from the World Health Organization, In the last 40 years, the number of obese children has multiplied by 10. This directly affects cases of type II diabetes, which tripled from 2016-2018.
A few days ago, for example, Betzabé Salgado, a nutritionist at the Children's Hospital in Mexico, revealed a worrying fact for the authorities responsible for public health in the country: At least 10 children with a weight greater than 100 kilos are interned every month.
With this context it is important to establish a much deeper education in children with diabetes about their sufferings and their care. But this is where another problem arises: The low training of health professionals to teach children how to apply their medications.
Seven years are an ideal age for children to learn and become responsible for the application of their insulin. However, based on the Ayala experience, in the national health system "There is little medical training for the families of patients and this can lead to complications when they do not have someone to help them alongside. It's about people with diabetes knowing and normalizing their care".
Internationally, the figure of educators in pediatric diabetes is important, who They are health professionals with sufficient information to accompany the patient with diabetes of any type, And this is to support you in the development of skills and abilities to live and manage your illness on a daily basis.
In the public health system, this figure is not recognized yet, but there are no private hospitals. They are usually nutritionists and nursesBut recently you have joined this initiative family doctors and even endocrinologists aware that the education to the patient is just as important as your attention.
Among the biggest challenges facing children with diabetes is that of their relationship with food, since this implies a much more limited discipline, Since you have to learn to explain your food in relation to the amount of insulin that is injected. But that is not all, since you should add a variable to the equation: the time of exercise they practice.
Another aspect that is of utmost importance for young people with some type of diabetes is emotional. Gisela Ayala highlights this topic, as children They may think they are the only ones in the world with their suffering and feel alone. "Psychological support is essential because we speak of a condition that accompanies all life i because you have to deal with the way in which the disease is perceived in the different stages", Explained.
Adolescence is one of these medullary periodsAs it is when the patient assumes more responsibility and self-confidence in their diabetes. then, It is important that parents show less initiative and assume a supporting role.
According to specialists from the International Diabetes Federation, "Not giving them appropriate responsibility to young people increasingly independent can be a factor that predisposes to problems. In case the self-confidence of a young person is inappropriate, parents may intervene and supervise the cure once more ".
Although the conditions seem adverse for the child population in Mexico, Education must also be a tool to control the disease and minimize the quality of life. In the words of Ayala, you must instill informed responsibilityThat is to say, allow the patient take care of your condition from a solid informative base on it.