Diabetes Mellitus in Children: Presentation, Plasma Glucose Diagnosis, Insulin Therapy and Glucagon for Severe Hypoglycaemia

A year-five paediatric deck by Dr Kibaru on hyperglycaemia from impaired insulin secretion or increased insulin resistance: the polyuria, polydipsia and weight loss of marked hyperglycaemia, diagnosis resting on plasma glucose measurement, the highly variable tempo of presentation and the need to recognise diabetes before it progresses to ketoacidosis. It continues through insulin therapy and monitoring to hypoglycaemia, ending on the instruction that patients, parents and teachers learn to give glucagon when the child cannot take glucose orally, to keep an injection kit at home and at school, and to give 0.5 mg intramuscularly under 20 kg and 1.0 mg above it.