儿童1型糖尿病：印度尼西亚的经验
Type 1 diabetes mellitus in children: experience in Indonesia.
作者信息
Pulungan Aman B, Fadiana Ghaisani, Annisa Diadra
机构信息
Child Health Department, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia.
出版信息
Clin Pediatr Endocrinol. 2021;30(1):11-18. doi: 10.1297/cpe.30.11. Epub 2021 Jan 5.
Abstract
The prevalence of type 1 diabetes mellitus (T1DM) in children in Indonesia is increasing although the real number is unknown due to high rate of misdiagnosis. Public and healthcare awareness on T1DM in children is still low, reflected by the high number of children diagnosed with diabetic ketoacidosis (DKA). The Indonesian Pediatric Society (IPS) had published a guideline on T1DM management, which consists of insulin injection, daily monitoring of blood glucose, nutrition, physical activity, and education. Aside from low awareness, current challenges on T1DM management in Indonesia are funding by the national health insurance, fasting during Ramadan, and inequities on DM care. The involvement of society, healthcare workers, stakeholders, and the government is of importance to ensure optimal management for children with diabetes.
摘要
印度尼西亚儿童1型糖尿病（T1DM）的患病率正在上升，不过由于误诊率高，实际患病人数尚不清楚。儿童T1DM的公众和医疗保健意识仍然较低，这体现在大量儿童被诊断为糖尿病酮症酸中毒（DKA）。印度尼西亚儿科学会（IPS）已发布了一份T1DM管理指南，其中包括胰岛素注射、血糖每日监测、营养、体育活动和教育。除了意识淡薄外，印度尼西亚目前在T1DM管理方面面临的挑战包括国家医疗保险资金、斋月期间禁食以及糖尿病护理方面的不平等。社会、医护人员、利益相关者和政府的参与对于确保糖尿病儿童获得最佳管理至关重要。
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