2023-06-13 02:55:57
A 4-year-old boy in the Mainland eats a lot on weekdays and weighs more than 22 pounds more than children of the same age. The doctor even pointed out that if he gained more weight, his breasts would develop and his genitals would appear smaller. In addition, the boy’s back neck turned black strangely. The doctor said it was “acanthosis nigricans”, which may be a precursor to diabetes. Hong Kong endocrinology and diabetes specialist Tang Junye once interviewed by “Sky Post” pointed out that “acanthosis black” caused by excessive insulin is more common in young people in their 10s to 20s, and it is mostly related to diabetes.
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According to comprehensive internal media reports, a 4-year-old boy with a height of 112 cm went to the hospital for medical treatment accompanied by his family. After examination, the doctor pointed out that the average weight of children at this stage should be 41 pounds, but the boy weighed more than 66 pounds, which was significantly overweight.
The doctor asked regarding the boy’s eating habits. His mother pointed out that he would eat a big bowl of noodles or steamed buns for breakfast. Although he didn’t eat much meat for lunch and dinner, he might often eat a big bowl of rice. In addition to three meals, the boy drank 3 to 5 bottles of milk and ate bread every day.Doctors found the boy had a 73cm waist and “almost no neck”. In addition, boys snore while sleeping, which may lead to hypoxia during sleep.
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After the examination, the doctor continued to point out that obesity will lead to breast development in boys, and too thick flesh will make the genitals appear smaller; more dangerously, obesity will also lead to fatty liver, high blood pressure, and diabetes.In addition, the back of the boy’s neck was dark. The boy’s mother thought it was just a general tan at first, but the doctor said it meant that the boy’s insulin was on the high side.colourAcanthosis” is a manifestation of prediabetes. The doctor warned: “It’s very fat! If you continue like this, you will have big problems!”
Doctors remind that many parents have insufficient awareness of obesity. It is precisely because early obesity is not taken seriously that children develop moderate obesity in adolescence, and even become severely obese in adulthood, and suffer from obesity-related complications.
Acanthosis nigricans in young people is mostly related to diabetes
Earlier, Hong Kong endocrinology and diabetes specialist Tang Junye said in an interview with “Sky Post” that “acanthosis black” is caused by excessive growth hormones in the body, which stimulate the proliferation of subcutaneous cells and make the skin darken and thicken. It most commonly occurs in people who are obese, diabetic or pre-diabetic. Because of high insulin concentration in their body, “acanthosis black” appears on the skin. In addition, this symptom can also appear due to hormonal problems (such as undersecretion of the thyroid gland) and cancer; some people are also affected by heredity.
Tang Junye added that, generally speaking, acanthosis nigricans caused by excess insulin is more common in young people in their teens to 20s, and it is mostly related to diabetes; while older people will not suffer from the weakened function of the pancreas. If there is too much insulin, acanthosis nigricans is more likely to be caused by diseases such as cancer.
3 major symptoms of diabetes in children
Wu Changteng, an emergency pediatrician in Taiwan, also pointed out earlier that a 5-year-old girl suddenly had a better appetite, and often shouted that she was thirsty, and drank a lot of water each time. This situation has lasted for more than 10 days. One day, the girl’s mental condition deteriorated, and she appeared dizzy, with difficulty breathing and shortness of breath. The mother immediately took the girl to see an emergency department. Dr. Wu found that she was not in good spirits, had vomiting, abdominal pain, shortness of breath, and was already severely dehydrated. After the examination, it was found that the girl’s blood sugar index was as high as 500, and she had symptoms of ketoacidemia. He immediately arranged for the girl to be treated in the Pediatric Intensive Care Unit, but luckily she was discharged safely. My mother was puzzled by the fact that her normally active daughter had diabetes.
According to Dr. Wu, childhood diabetes can generally be divided into type 1 diabetes and type 2 diabetes, among which type 1 diabetes is the most common type. Type 1 diabetes is the inability to secrete insulin because the islet cells of the pancreas are destroyed by autoimmunity or unknown reasons, so type 1 diabetes is also called insulin-dependent diabetes.
The onset of type 1 diabetes in children is sometimes particularly acute. If not treated in time, patients may develop hyperglycemia, diabetic ketoacidemia, and even death. Since the etiology of type 1 diabetes is complex and cannot be prevented, it is necessary to seek medical advice and treatment as soon as possible if symptoms appear. Dr. Wu said that if you find that your child has difficulty breathing, acetone and fruity breath, irritability, vomiting, abdominal pain, fatigue, and poor spirits, you should be careful of diabetic ketoacidemia and acidosis. He also pointed out that diabetes in children has the following three major symptoms:
5 Tips to Help Patients Manage Their Disease Properly
An earlier study by the Children’s Diabetes Association pointed out that the incidence of diabetes among children and adolescents in Hong Kong has continued to rise, and the number of patients with type 2 diabetes has nearly doubled in the past 20 years. The situation is worrying. To help them manage their condition better, the Association provides the following 5 tips:
- Regularly check blood sugar and inject insulin
- Eat regularly and maintain good exercise habits
- Prepare for a hypoglycemic reaction with fast-absorbing carbohydrate foods
- Wear a marker so that others can identify it, and write parental contact information on the blood glucose meter
- Attend all blood sugar testing and regular appointments with healthcare providers as scheduled
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Written by: Chen Xiaozi
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