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August 14, 2002

Complications

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Question from Calgary, Alberta, Canada:

What is the death rate in children going through diabetes at puberty?

Answer:

From: DTeam Staff

The number of kids and teens who die because of diabetes is very rare and usually occurs when the diagnosis is missed — lack of medical care — or when insulin is chronically omitted. Both are usually DKA [diabetic ketoacidosis] related.

The first one is preventable by good access to medical care when there are unusual new symptoms — unexplained weight loss, excessive urination, excessive thirst, etc. The second is preventable by acknowledging that not everyone always tests sugar levels or knows what to do when they are ill — and by acknowledging and recognizing that some teens who do not take their insulin need adults to actually give their insulin injections. This is usually a severe psychological condition and responds to active involvement of parents as well as active therapy.

SB