Questions

  1. I want to confirm the type of diabetes diagnosed in the child and whether this type of diabetes is hereditary?
  2. Is the current treatment plan appropriate, and what are the main complications? What dietary precautions should be taken at present?

Answers

  1. The child has been diagnosed with Type 1 diabetes, which is a hereditary type of diabetes.
  2. The recommended treatment plan is insulin pump intensification therapy, with Humalog insulin available for use in the pump. If the economic conditions allow, insulin pump treatment can be considered after discharge. Alternatively, basal insulin can be used with three injections of Detemir plus rapid-acting insulin Humalog. The main complications include acute complications such as diabetic ketoacidosis, hyperosmolar nonketotic diabetic coma, diabetic lactic acidosis, and hypoglycemic coma, as well as chronic complications such as diabetic nephropathy, retinopathy, and diabetic foot. Therefore, it is very necessary to control blood sugar levels early and effectively.