Malaysian Paediatric Endocrine & Diabetes Group - MPEDG

13/04/2026

Ramai ibu bapa risau bila anak nampak kecil berbanding rakan sebaya. Namun, penting untuk bezakan antara anak yang secara genetik memang kecil dengan anak yang mengalami masalah tumbesaran (stunting).

Anak yang sihat tetapi kecil biasanya aktif, berkembang mengikut carta pertumbuhan, dan tiada masalah kesihatan. Sebaliknya, masalah tumbesaran berlaku apabila pertumbuhan terbantut akibat faktor seperti pemakanan tidak mencukupi, penyakit kronik, atau kekurangan zat penting. 

Tanda amaran termasuk tinggi atau berat yang tidak meningkat mengikut usia, perkembangan lambat, atau kerap sakit. Intervensi awal sangat penting kerana stunting boleh memberi kesan jangka panjang terhadap perkembangan fizikal dan kognitif anak. 

👉 Jika ragu, dapatkan penilaian doktor untuk memastikan anak membesar dengan sihat.

Artikel penuh

https://www.hmetro.com.my/sihat/2026/04/1344654/beza-anak-hanya-berbadan-kecil-dengan-ada-masalah-tumbesaran #

Isu bantut (stunting) dalam kalangan kanak-kanak Malaysia terus menjadi cabaran kesihatan awam yang signifikan.

30/03/2026

Diabetes Malaysia Conference is back again!

Featuring a comprehensive and engaging programme alongside a panel of esteemed and experienced speakers, DMC 2026 is set to be an exciting event.

Calling for all healthcare professionals to register for DMC 2026!

Our theme this year is Empower, Engage, Evolve.

Conference details:
Date: 12–14 June 2026 (Friday to Sunday)
Venue: The Vertical Connexion Conference and Event Centre, Bangsar South City, Kuala Lumpur

Conference Website: http://dmc.diabetesmalaysia.org.my

Abstract Submission: https://forms.gle/hWXZrpScQyuM7Pqo6

Online Registration: https://dmc.diabetesmalaysia.org.my/registration.php

Group Registration Offer: One complimentary registration is offered for every five (5) paid registrations (5+1).

For further information, please contact Ms. Parameasvari, Ms. Penny, or Ms. Nur Hafizah at 03-7957 4062.

21/03/2026

Selamat Hari Raya Aidilfitri 🌙✨
Maaf Zahir dan Batin.

Semoga hari yang mulia ini membawa kegembiraan, kedamaian, dan keberkatan kepada anda dan keluarga tercinta.
Semoga hubungan yang terjalin sentiasa erat, dan hati kita dipenuhi dengan keikhlasan serta kemaafan.

Selamat menyambut Hari Raya! 🕌💚
Have a wonderful Hari Raya celebration!

13/03/2026

*Diabetes Malaysia Conference is back again!*

Featuring a comprehensive and engaging programme alongside a panel of esteemed and experienced speakers, DMC 2026 is set to be an exciting event.

Our theme this year is *Empower, Engage, Evolve.*

Conference details:
Date: 12–14 June 2026 (Friday to Sunday)
Venue: The Vertical Connexion Conference and Event Centre, Bangsar South City, Kuala Lumpur

Conference Website: http://dmc.diabetesmalaysia.org.my

Abstract Guidelines: https://dmc.diabetesmalaysia.org.my/abstract.php

Abstract Submission: https://forms.gle/hWXZrpScQyuM7Pqo6

Online Registration: https://dmc.diabetesmalaysia.org.my/registration.php

Group Registration Offer: One complimentary registration is offered for every five (5) paid registrations (5+1).

For further information, please contact Ms. Parameasvari, Ms. Penny, or Ms. Nur Hafizah at 03-7957 4062.

13/03/2026

🌙 Pesanan Ramadan untuk Kanak-kanak dengan Diabetes Jenis 1 ( #3 & #4)

Puasa boleh dilakukan oleh kanak-kanak dan remaja dengan Diabetes Jenis 1, tetapi penting untuk tahu bila perlu berbuka dan cara merawat gula rendah.

🔴 Wajib berbuka jika:
• Gula darah bawah 3.9 mmol/L
• Gula darah atas 16.7 mmol/L
• Ada keton
• Rasa tidak sihat, pening, keliru, atau lemah

⚠️ Langkah kecemasan hipoglisemia
1. Periksa gula
2. Jika ❤.9 mmol/L → ambil 15 g gula segera (jus, gula-gula, glukosa)
3. Tunggu 15 minit
4. Periksa semula
5. Jika ≥4.0 mmol/L → makan snek atau hidangan

✅ Keselamatan adalah keutamaan
✅ Sentiasa ikut nasihat doktor sebelum berpuasa

🌙 Ramadan Bites for Children with Type 1 Diabetes ( #3 & #4)

Fasting can be safe for children and adolescents with Type 1 Diabetes — but knowing when to break the fast and how to treat low sugar is very important.

🔴 Break the fast immediately if:
Blood glucose below 3.9 mmol/L
Blood glucose above 16.7 mmol/L
Ketones present
Feeling unwell, dizzy, confused, or weak

⚠️ Hypoglycemia emergency steps
1. Check sugar
2. If ❤.9 mmol/L → take 15 g fast sugar (juice, sweets, glucose)
3. Wait 15 minutes
4. Recheck sugar
5. Once ≥4.0 mmol/L → eat snack or meal to stabilize

✅ Safety comes first.
✅ Always follow your doctor’s advice when fasting.

10/03/2026

When a young infant has diabetes, neonatal diabetes a monogenic form of diabetes must be excluded. Paediatric endocrine consult should be sought and genetic testing done early. This is because some types of neonatal diabetes can respond to oral sulphonylyrea.

" It is crucial to remember that diabetes in babies under six months of age is almost never type 1. Genetic testing should be considered for all babies below one year old with negative pancreatic antibodies.
This is as early diagnosis can completely change a child’s treatment and future, with some forms of neonatal diabetes able to be treated with tablets instead of insulin.
While neonatal diabetes is rare, it is one of the most important diagnoses not to miss.
In a tiny baby fighting DKA, the difference between lifelong insulin and a simple daily tablet may come down to a single gene.
That is the miraculous power and science of modern molecular medicine"

In infants with high blood sugar levels, a rare, but treatable, genetic disorder should always be tested for.

09/03/2026

📢 *MAC 16 | Abstract Submission Countdown*

*Only 3 weeks left* to submit your abstract for MAC 16!

🗓 Conference: 22 – 24 May 2026
📍 Venue: Hilton & Le Méridien Kuala Lumpur

Take this opportunity to present your research, share your clinical work, and gain recognition among endocrinology experts.

📖 Selected abstracts will be published in a JAFES supplementary issue.

⏰ Submission Deadline: 30 March 2026

*Submit your abstract here:*
https://www.memsmac.org/abstract-submission

We look forward to receiving your submission and welcoming you to MAC 16.

04/03/2026

Today, on World Obesity Day, we stand united with the global community in recognising that childhood obesity is one of the most urgent health challenges of our time.

This year’s message reminds us that the systems shaping our health today will shape our children’s future. In Malaysia, the rise in childhood overweight and obesity is deeply concerning — and it is not simply about willpower or personal choice. It reflects the environments our children grow up in: the foods they are exposed to, opportunities for physical activity, screen time, sleep patterns, school policies, and family support systems.

As paediatric endocrine specialists, we see firsthand how childhood obesity increases the risk of multiple comorbidities, including:
• Type 2 diabetes
• Hypertension
• Fatty liver disease
• Psychological distress and low self-esteem

Obesity in childhood has serious consequences — early intervention matters.

On this World Obesity Day, we call on:

✅ Parents and caregivers – to create healthier home environments
✅ Schools – to prioritise balanced nutrition and daily physical activity
✅ Policymakers – to strengthen regulations on food marketing and improve access to healthy choices
✅ Healthcare providers – to identify at-risk children early and provide timely support
✅ Communities – to reduce stigma and support families with compassion

This World Obesity Day, there are 8 Billion Reasons to Act on Obesity.

Let us work together to build a Malaysia where the healthy choice is the easy choice — for every child.

28/02/2026

Petua Ramadan 2

DKA dan Puasa

Mengapa risiko DKA meningkat?
Semasa berpuasa, kanak-kanak dengan diabetes mungkin kurang insulin, tidak makan, atau kurang minum. Tanpa insulin yang mencukupi, badan akan memecahkan lemak dan menghasilkan keton. Keton yang tinggi boleh menyebabkan asid dalam badan meningkat dan komplikasi Diabetes Ketoacidosis (DKA), iaitu keadaan kecemasan yang berbahaya terhadap nyawa.

Apa yang perlu dipantau?
✅ Paras gula darah (lebih kerap)
✅ Paras keton (jika gula tinggi atau anak tidak sihat)
✅ Tanda dehidrasi (mulut kering, kurang kencing)
✅ Tanda bahaya: muntah, sakit perut, pernafasan laju, terlalu letih

👉 Puasa mesti dibatalkan dan dapatkan rawatan segera jika keton positif atau ada gejala.

Why is there a risk of DKA with fasting ?

During fasting, children with diabetes may get too little insulin, miss meals, or become dehydrated. When the body lacks insulin and is dehydrated, it breaks down fat for energy, producing ketones. High ketones lead to high acid, very high levels lead to Diabetic Ketoacidosis (DKA), a serious and life-threatening condition.

What to monitor?
✅ Blood glucose (check more often)
✅ Ketone levels (especially if sugar is high or child feels unwell)
✅ Signs of dehydration (dry mouth, low urine)
✅ Warning symptoms: vomiting, abdominal pain, rapid breathing, extreme tiredness

👉 Break the fast and seek medical help if ketones are positive or symptoms appear.

21/02/2026

Panduan Berpuasa bagi Penghidap Diabetes Jenis 1 (T1D)

Kanak-kanak dan remaja yang menghidap diabetes Jenis 1 sebenarnya tidak diwajibkan berpuasa pada bulan Ramadhan. Ini kerana berpuasa boleh membahayakan kesihatan mereka, seperti risiko kencing manis berasid (DKA) atau tahap gula dalam darah yang terlalu rendah (hipoglisemia) jika tidak dipantau dengan betul.

Namun, semakin ramai anak muda di Malaysia yang bersemangat untuk turut serta berpuasa. Jika anda salah seorang daripadanya, sila ikuti langkah keselamatan ini:

• Dapatkan Kaunseling: Berjumpa dengan doktor sebelum Ramadhan untuk bimbingan khas.
• Pendidikan Diabetes: Pastikan anda faham cara menguruskan gula dalam darah semasa berpuasa.
• Pantau Gula Darah: Sentiasa periksa tahap gula (BG) anda dengan kerap sepanjang hari.
• Laraskan Insulin: Tukar dos insulin anda mengikut keperluan dan nasihat pakar.

Pesanan Penting: Dapatkan nasihat daripada doktor anda terlebih dahulu supaya anda boleh berpuasa dengan selamat pada musim ini!

Young people with Type 1 diabetes mellitus are not under compulsion to fast during the holy month of Ramadhan as fasting can pose imminent danger of DKA, and severe hypoglycemia if not monitored safely.

However, we are seeing more and more young children and adolescent in Malaysia who wishes to fast in Ramadhan. These young people with T1D should receive pre-fasting counselling and diabetes education to ensure they can fast safely during Ramadhan.

If you are someone with T1D and wishes to fast, please monitor your BG and adjust insulin as necessary. Get advice from your doctors so you can fast safely during this season!

18/02/2026

Happy Ramadan Mubarak 🌙✨ Wishing a month filled with peace, reflection, and blessings. May this fasting month bring light to our hearts and calm to our souls! 🩵

16/02/2026

🧧✨ Happy Chinese New Year – Year of the Fire Horse ✨🧧

As we welcome the vibrant Year of the Fire Horse, may it bring boundless happiness, good health, strength, and prosperity to you and your loved ones. May the year ahead be filled with hope, resilience, and bright new beginnings.

Wishing everyone who celebrates a joyful and meaningful festive season, and happy holidays to all.

With warm regards,
Malaysian Paediatric Endocrine Diabetes Group (MPEDG) 🐎🔥