Trying Again

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Arleth Avila was earmarked for stomach surgery in Colorado

As a side-effect of the increase of obesity in children, a growing number of children diagnosed with type-2 diabetes, particularly in some British cities, in the Asian community. The NHS will consider an approach that is now being tried in the United States, and offer these children, obesity surgery, asks the BBC's Sue Mitchell.

type 2 diabetes was formerly called "adult onset diabetes" But Two Weeks ago, Zaira was diagnosed at the age of 14 years. She is still in the news trying to.

"It was shocking, because I know I had diabetes. I felt like I had a stomach ache," she says.

Zaira knew she was overweight, and for a while she had tried to lose Weight But their efforts seemed to have no effect, so she gave up.

she was in the planning for Another Time to try again, and the not-yet-realized diabetes could beat so Soon .

Zaira (right) with nutritionist Alison Woodhead, "I feel ashamed. In school we were told about diabetes and how it is something that people get later on in life, if you are overweight," she says.

"I have relatives who have it, But they are much older. I don't think I would get it. "

Zaira lives in Bradford and is being treated at St Luke's Hospital, where children with type 2-diabetes is unknown, 11 years ago, as a consultant paediatrician, Dr Mathew Mathai, the work in the paediatric diabetes clinic. At the Time , he only saw type-1-diabetes, this has nothing to do with diet or lifestyle. But now there is a minimum of 18 children with type 2 diabetes at any Time and the disease to develop much faster in young than in adults.

"The complications are considerable, and they start early," Mathai says.

"are you vessels damage to the small blood to the eyes, kidneys and other organs, and this occurs very much earlier. And that is why we must really try and see how we can reduce this risk, But The Treatment options that are not currently available. "

A Number of drugs licensed for adults, But it is only an oral medication for children metformin decreases the amount of sugar in The Blood .

What is type 2 diabetes -? Sources:

One of the Mathai-patients, Maryam, was diagnosed when she was only 10 years old. She is now 14 and has been struggling to control your diabetes in The Last four years. First of all, you got metformin in tablet form, she had difficulty in swallowing. A cousin tried then, by the Pills in chapatis for you, But it didn't work, so she tried the syrup, But hated The Taste . She squirts now insulin and before the summer was More Than half of their weekly treatments is missing.

That all changed In July , when Maryam went to stay with relatives in Pakistan. They traded the junk food in your freezer and endless visits to food stalls in the vicinity of your Bradford home, for her grandmother s home cooked meals and a never-ending supply of fresh fruit. At home she is rarely exercised and was driven to and from school, But in Pakistan you had to walk everywhere. After two months, you lost 5kg and had could feel, how your clothes getting looser.

There are A Number of fast food outlets in the vicinity of Maryam's home "In the UK we have nothing more to do, there is nothing to do. We just have to do the dishes and sit in front of the TV and goes to a drawer and get something to eat," she says.

"We are always eating. We do not make ourselves more active as we should be. In Pakistan I saw how thin The Girls were, and I was really thinking about it, and I thought, I need to lose my Weight .

"I was looking at you, and think about my health as well. "

For your most recent appointment with the doctors in the paediatric diabetic clinic, Maryam weighed 115kg. It is still considered to be clinically obese, with a body mass index of 45. 7 But the staff think they turned a corner.

"I think this is the First Time that I've seen, to lose Maryam Weight successfully, But also she seems to be confident that you can continue to lose Weight and I think this is a real achievement," says pediatric nutritionist Alison Woodhead.

"So we will see how you and supports you and your family. I think maybe The Environment in Pakistan is helped to lose your Weight , and you realized that you can do it. "

Unfortunately, many other patients find it to change very difficult.

Alison Woodhead was the removal of chips and choc ices from Maryam's freezer shortly before Ahmed (not his real name) was sitting his GCSE exams, he was warned, he was confirmed in the risk of developing type 2 diabetes, and three months later, The Diagnosis . He says that he eats regular burgers and pizzas and does little exercise. His body mass index 37. 5 - is Less than Maryam, But still overweight. At the age of 16, he already has high blood pressure.

Ahmed has seen his father and other relatives of type 2 diabetes in later life, and although his father recently had a Heart Attack he already had the disease for some years. It may be that Ahmed thinks the disease develops slowly, in his case.

"There are a lot of shock and grief when they are diagnosed. I think we think sometimes, maybe, " Well, this shock would be enough to motivate someone to Do Something about it. "But that doesn't work," says Vicki Lee, a psychologist, works with children's physicians and nutrition consultants in Bradford-children's Diabetes Service.

"The Brain is very much still Under Construction to develop up to 25 and The Last piece is in the position to think about the long-term consequences, and therefore with young people, we often see behaviors that win More Than the type of short-term and what is important to me now.

"I've had people say to me that you only really care about diabetes on the way to the clinic, And Then maybe for the night. Unfortunately, is reflected in their behavior, in terms of not taking medication or not following the advice you have given. "

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people of Asian origin, such as Zaira , Maryam and Ahmed are particularly susceptible to diabetes because of their body type. Fourteen thousand babies born in Bradford between 2007 and 2009 are recognized, from the birth of health researchers in one of the largest longitudinal health studies of its kind, the Born in Bradford study. It has been shown, such as the birth of children of Pakistani families, the more fat around the waist than white children. They are five times more likely to have diabetes and seven times more likely to have type 2 diabetes, if you are young.

According to Dr. John Wright , who leads the research, it is important that cultural differences in terms of lifestyle and movement.

"We know that our South Asian children in The First year of life is very similar to the Physical Activity to white children, But of three or four, they are more sedentary," he says.

"five or six, they are really significantly Less physically active, and 10 and 11, that is really starting to pull Away and especially in South-Asian girl. So we see these trajectories of Physical Activity is really at an early stage, and that differences between ethnic groups. "

The United States has a deep-rooted problem with child diabetes and doctors in the UK have their efforts to combat it. Some of the British paediatric diabetes clinics have assumed the US model for your type-2-young people, to ensure that a dietician and a psychologist work with each family.

One of The First doctors in The World , a report about the worrying increase in children's diabetes, Dr. Philip Zeitler, who discovered a seven-fold increase in The Number of cases in The Children 's hospital Colorado, in the late 1980s and early 1990s.

He now oversees the Today study, which in 2004 initiated and has been tracking 699 teenager, all of which have been given, the one of three alternative treatments: metformin; metformin plus another drug, rosiglitazone (not approved for children in the UK), or metformin plus lifestyle changes, the diet and exercise.

Zeitler, says the research has led US to the doctors in favor of a more aggressive approach.

"What we saw was that the ability of the pancreas to make insulin deteriorates much faster than in adults in these children. No one knows why," he says.

the bodies of The Children with type 2 diabetes are Less sensitive to insulin and the pancreas initially, by in the manufacture of the "massive" amounts of, Zeitler says. But to decrease the amount of insulin produced, starts quickly.

"The speculation is that this incredible demand to make on the pancreas, insulin, which during puberty is one of the Reasons why this deterioration is happening so fast. And probably the greatest recommendation, the changes are much more aggressive treatment of The Children ," he says.

to be available in the USA, some young people with a body mass index of 35 or more, the possibility of gastric-bypass surgery, and The First results appear promising.

child health, long reads, diabetes

Source of news: bbc.com