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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.
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.
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