Author/Editor		Kržišnik, C; Battelino, T; Bratanič, N; Žerjav-Tanšek, M; Uršič-Bratina, N
Title		Forty years treatment and care of children and adolescents with insulin dependent diabetes in Slovenia
Translated title		Štirideset let zdravljenja otrok in mladostnikov z inzulinsko odvisno sladkorno boleznijo v Sloveniji
Type		članek
Source		Slov Pediatr
Vol. and No.		Letnik 6, št. 3
Publication year		1999
Volume		str. 57-60
Language		eng
Abstract		In Slovenia the prevalence of insulin - dependent diabetes in children aged up to 15 years was 71,1 per 100000 on January 1, 1998, while the annual incidence in the period from 1988 to 1995 was 8 per 100 000. Emergency treatment of diabetic ketoacidosis at the onset of disease or later on is performed in the nearest pediatric department. The complex programme of treatment, education including self monitoring and adaptation of insulin doses to the parameters of metabolic control, and psycho- social care have been organised at the Department of Endocrinology, Diabetes and Metabolic Diseases, University Children's Hospital, Ljubljana by a team composed of pediatricians-diabetologists, specially trained nurses, a dietician, social worker, psychologist and other consultants if necessary. Our department also provides 24 hours consultations for all diabetic children and their parents. The value of a summer camp at the Adriatic coast, as well as of a periodical and of a club for the parents of young diabetics for the education and health care of children suffering from diabetes is stressed. All diabetic children are treated with human insulin, generally with short and intermediate acting preparations given twice a day, while in 90% of the adolescents, intensifiend insulin therapy is performed. The positive experience regarding metabolic control and quality of life with a multi- ple injection regimen using pen-injectors or insulin pumps in young diabetics is emphasised. The modern concept of regular diabetic nutrition and self adjustment of insulin doses to measurements of parameters of metabolic control was introduced in 1960.
Summary		V Sloveniji je bila 1.Januarja 1998 prevalenca inzulinsko odvisne sladkorne bolezni 71,1 na 100000 v starostni skupini 0-15 let, celotna incidenca v obdobju od 1988 do 1995 paje bila 8 na 100 000. Zdravljenje diabetične ketoacidoze ob izbruhu oz. poslabšanju bolezni, je potekalo v najbližjem otroškem oddelku. Nadaljnje zdravljenje, poučevanje samokontrole in prilagajanja odmerkov inzulina presnovni urejenosti, in psihološko-socialna podpora pa so bile organizirane na Kliničnem oddelku za endokrinologijo, diabetes in presnovne bolezni Pediatrične klinike v Lljubljani. Ta program izvaja strokovna skupina, ki jo sestavljajo pediater-diabetolog, posebej usposobljeni zdravstveni tehniki, dietetik, socialni delavec, psiholog in po potrebi tudi drugi konzultanti. Oddelek zagotavlja tudi 24 urno svetotovanje vsem otrokom z diabetesom in njihovim staršem. Poudarjen je tudi pomen poletne obnovitvene rehabilitacije in vloga kluba staršev otrok s sladkorno boleznijo pri izobraževanju in zdravljenju otrok s sladkorno boleznijo.Vsi bolniki s sladkorno boleznijo so zdravljeni z humanim inzulinom, predvsem s kratko in srednje hitro delujočim dvakrat dnevno, razen mladostnikov, od katerihje kar 90% na intenziviranem inzulinskem zdravljenju. Predstavljen je tudi pozitiven vpliv večkratnega odmerjanja inzulina s pomočjo inzulinskih-svinčnikov in pump na presnovno urejenost in kvaliteto življenja mladih sladkornih bolnikov. Sodobno pojmovanje diabetične prehrane in samo-odmerjanja inzulina glede na parametre presnovne urejenosti, je bilo vpeljano leta 1960.
Descriptors		DIABETES MELLITUS, INSULIN-DEPENDENT INSULIN CHILD ADOLESCENCE PATIENT EDUCATION INCIDENCE BLOOD GLUCOSE SELF-MONITORING SLOVENIA