Diabetes also occurred on Children
“Two years ago, after the home school, suddenly Ratih fainting after vomiting continuously. I panic and decide to bring them to the clinic. At the clinic, the doctor usually does not let the diagnosis even secarik issue paper to refer my child to private hospitals in Jakarta. I also bring Ratih there, by the doctor after a child, I know if my child is suffering from diabetes. I do not know how perasanku at that time. I’m confused why diabetes can occur in the son. I thought, I diabetes occurs in adults only. It is the story Suwardi (49) and her son Ratih (13) which is a diabetes sufferer. Currently, Ratih returned recover despite still suffering from diabetes and still perform outpatient month in each division Endokrinologi Children, Cipto Mangunkusumo Hospital.
Ratih is one of hundreds of children in diabetics. Diabetes incidence in children in the world that is experiencing increasing trend to reach 17 per 100,000 children per year. In Indonesia, according to dr. B Pulungan safe, the head of the task force Endokrinologi Indonesian Children Doctors Association says diabetes mellitus incidence in children in Indonesia, estimated at 0.3 per 100,000 children per year. Indonesia has a population of 80 million children a number of children, so there are estimated 240 new cases of diabetes mellitus children per year.
Diabetes in children is a unique case. As simple as going to friends’ birthdays, play, and spend the night at friend’s house also require the preparation of cooked. Checking blood sugar, provides the appropriate food menu, and use insulin or other drugs can make a child feel different from friends sebayanya for them and this is felt to the very. Ratih gleeful child who is diagnosed before diabetes, but after the pain, he does not want to again play with his friends because he feels different from her friends. “Affected by diabetes before, he played on a bicycle around the housing with a friend.” Summary study at the school also disrupted. “Ratih lazy to learn, easy to feel he was weak after the study is only 10 minutes. Value and the ranking also fell down very dramatically, “Ratih is not big 10 ranking in its class since the illness,” said Suwardi. Adapting to the disease for a child is not easy. Suffering from chronic diseases such as diabetes can be a challenge that sometimes emotional menjurus to the depression. Consult denganpsikiater or psychologist can help children and their families adjust to lifestyle changes after the sick.
Family support for children with diabetes is the main and effective. Education about diabetes should also involve the family. Family can be a motor with a doctor, edukator diabetes, nutrition experts, and other health workers in helping children in the management of diabetes day-to-day. Family educational background is another interesting issue. Educational background of families especially parents who can lower the child’s condition impedes improvement. Parents are key to success in the handling of diabetes in children because children are still not able to manage themselves. Parents need to understand what diabetes is treated, the handling gizinya, prevention is not to fall into a kegawatdaruratan diabetes, and handling the first case of keadaaan emergency. Family members, teachers, nurses, counselors, and community can provide information, support, guidance, and assistance to help children and families adapt to diabetes. Families also should be given the understanding of other important things in the handling of diabetes such as funding, social services, and counseling.
Another thing that must be considered in children with diabetes is a problem of funding. Diabetes is a disease that does not take a bit of funds and financing dalm things as the cost of expensive drugs and methods pendeteksiannya. Yati, one of the parents of children with diabetes, if the cost is very expensive berobata diabetes. “I have to pay up to five hundred thousand rupiah to buy only once in the drug and that it is very heavy for me. I do not work and my child’s medical expenses borne by my oldest son, who works only as a restaurant waitress. Yati Askeskin not have a card so he had to pay almost 100% of the cost of treatment. Askeskin card is the card that belongs to a poor family in Indonesia that make the cost affordable so pengoabatan. Reason Yati Askeskin card does not have a bureaucracy that is why make the card itself Askeskin such as making a long time and have to pay for administration. But, the story of another dituturkan Suwardi. He has a card Askeskin since three years ago when her son diagnosed diabetes and happy because it costs almost entirely by the children by the government.
Diabetes is a condition that creates stress for children and families. Parents must be vigilant akan sign – sign of depression or eating disturbance ketidakmauan or use insulin. Parents must menasehati children suffering diabetes to avoid cigarettes, alcohol, and substance psikotropik or adiktif because other people are smoking on the risk of diabetes akan menungkatkan coronary heart disease affected far more than the normal person. Transition to the child that does not depend on parents to depend on age and level maturitas child and this happens gradually. Most school age children can recognize symptoms of lack of blood sugar (hipoglikemia) and able to use the tool monitor blood sugar and can be involved in the selection of food.
Camping peer groups and children with diabetes can be a vehicle positive role models and group activities. Penyemangatan friends from the same boat together sometimes suffer diabetes can help children do things related to treatment of diabetes before they are afraid to do. Talking with other children who suffer diabetes can help children feel less isolated and does not in itself a disease, so bring enthusiasm in the diabetes treatment. Children have the opportunity to discuss about the problems they face and can also share how the problem solution. Often this activity is physically challenging children and teach children how to confront the many activities and recognize that diabetes should not limit their activities to become useful people in society.
Team cooperation
Because diabetes does not only cause physical problems but also the child’s emotional needs penatalaksanaannya handling the holistic integration of the physical and psychological aspects of the needs of children. Children who go on the handling of young people must also consider the condition of psychic teenagers who consider autonomy and independence of teenagers. Handling of diabetes in children and adolescents harua provided the team can handle the conditions of the special aspects of treatment, education, nutrition, and behavioral aspects. Handling of diabetes can not come only once but must continuously.
Things that should not be overlooked from the dialogue with Suwardi at the beginning of this article is the importance of the campaign penyadaran to general practitioners as health care level first. Umu doctors as front guard of health care services need to know that diabetes can also occur in children and general practitioners also need to know the first step in the handling of diabetes in children. Society must also take part in this campaign because they are also entitled to know that the Son can be affected by diabetes. This is why the diabetes organizations, the World Diabetes Foundation (WDF) states that the 14 November this year which is the world diabetes day more focused on diabetic children.
Each 14 November, we commemorate the day diabetes world. Almost every year, the theme of the day handling of diabetes is diabetes in adults, but this year’s theme of warning that is very different in diabetic children and adolescents. Why? Because diabetes cases in children and adolescents increased each year and often people still have opinions, that diabetes can only occur in adults. Each year kampaye only awareness that diabetes can occur in adults and have not been telling the children about diabetes. November 14 this should be a different day for diabetes in Australia with mengakat topics in child diabetes. All elements of society ranging from doctors, health, government, parents and other elements of society must participate actively take part in the campaign of awareness about diabetes in children and adolescents. The goal is bring to the public that diabetes can occur in children and young people and bring that number incident diabetes in children increasing.
The government also can not stay silent. They can facilitate the campaign about diabetes in children. Government can also create rules that provide facilities for children with diabetes. Such as the United States government has made regulations which made it easier on the children with disabilitas including children with diabetes. Regulation states that students who suffer diabetes are given lessons in a safe environment and provide equal access for each student.
If the burden of the health sector with Indonesia increasingly the rising number of diabetes cases in children, Indonesia is in great danger for the young generation. Hopefully, this year’s campaign can increase awareness of each element of society, including policy makers, health system managers, schools, non-government organizations on the issue of diabetes mellitus in children and adolescents in Indonesia. To increase public awareness about diabetes in children and adolescents in Indonesia is still needed in the figure that is known to the wider community can become role models who can make people interested and pay attention.
