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Case Study

Multidisciplinary Approach in the Treatment of Pediatric Type 1 Diabetes at Ashwini Hospital

Introduction

Type 1 diabetes is a chronic condition where the pancreas produces little or no insulin, affecting both children and adults. This case study examines the successful management of a 10-year-old patient diagnosed with Type 1 diabetes at Ashwini Hospital, emphasizing the importance of a holistic, multidisciplinary approach in managing pediatric diabetes.

Author: Dr. Vijaya K

October 5, 2024

Case Description

A 10-year-old girl was admitted to Ashwini Hospital with symptoms of extreme thirst, frequent urination, fatigue, and unintended weight loss. Initial laboratory tests confirmed high blood glucose levels (fasting glucose: 320 mg/dL) and a positive test for antibodies associated with Type 1 diabetes. She had no family history of diabetes.

The child and her family were understandably anxious about managing a lifelong condition. The pediatric endocrinology team quickly assembled a multidisciplinary team including a pediatrician, dietitian, and diabetes educator to create a comprehensive care plan.

Management Approach

The child was immediately started on insulin therapy to stabilize her blood sugar levels. The pediatric endocrinologist introduced a basal-bolus insulin regimen, with continuous glucose monitoring to maintain optimal control. The dietitian worked closely with the family to devise a child-friendly diet plan, focusing on balanced meals and carbohydrate counting to manage blood glucose fluctuations.

The diabetes educator provided intensive training on insulin administration, glucose monitoring, and recognizing the signs of hypo- and hyperglycemia. Psychological counseling was also offered to both the child and her parents to help them cope with the emotional and lifestyle adjustments required by diabetes management.

Outcome

After two weeks of in-hospital stabilization and education, the child was discharged with her blood glucose levels within a controlled range. Over the next three months, follow-up appointments confirmed steady blood sugar levels (HbA1c: 6.8%) and no major hypoglycemic episodes. The child and her family adapted well to the new lifestyle changes, maintaining a positive outlook on long-term diabetes management.

Discussion

This case highlights the importance of a multidisciplinary approach in treating pediatric Type 1 diabetes. The collaborative efforts of pediatric endocrinologists, dietitians, educators, and counselors played a key role in ensuring the child’s transition to managing a lifelong condition was smooth and effective. Early intervention, education, and psychological support were essential in preventing complications and improving the quality of life for the patient.

Conclusion

Type 1 diabetes is a life-changing condition, but with the right care and support, children can lead normal, healthy lives. Ashwini Hospital’s comprehensive, patient-centered approach emphasizes that early diagnosis, proper education, and continuous care are key to managing pediatric diabetes effectively.