Type 1 diabetes mellitus in children: experience in Indonesia

Aman B Pulungan1, Ghaisani Fadiana1, Diadra Annisa1

  • 1Child Health Department, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia.

Insights

Type 1 diabetes mellitus (T1DM) in Indonesian children is rising, with low awareness leading to frequent diabetic ketoacidosis (DKA) diagnoses. Improved management requires addressing funding, cultural practices, and care disparities through multi-stakeholder collaboration.

Area of Science:

  • Pediatrics
  • Endocrinology
  • Public Health

Background:

  • Increasing prevalence of Type 1 Diabetes Mellitus (T1DM) in Indonesian children, often undiagnosed or misdiagnosed.
  • Low public and healthcare awareness contributes to delayed diagnosis, frequently presenting as diabetic ketoacidosis (DKA).

Purpose of the Study:

  • To highlight the challenges and needs for effective T1DM management in Indonesian children.
  • To emphasize the importance of multi-stakeholder involvement for optimal diabetes care.

Main Methods:

  • Review of current T1DM management guidelines and challenges in Indonesia.
  • Analysis of factors impacting T1DM care, including awareness, diagnosis, treatment, and healthcare system issues.

Main Results:

  • High rates of misdiagnosis and DKA indicate significant awareness gaps.
  • National health insurance funding, Ramadan fasting, and care inequities pose major management hurdles.
  • The Indonesian Pediatric Society has established management guidelines.

Conclusions:

  • Urgent need for increased public and healthcare professional awareness regarding T1DM in children.
  • Collaborative efforts involving society, healthcare workers, stakeholders, and government are crucial for improving T1DM management and outcomes.

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