English: I wanted to concentrate my remarks today on type 1 diabetes, which accounts for only 10 per cent of all people with diabetes, but accounts for 96 per cent of all children and young people who have diabetes. I know the Minister, in his introduction, did make very clearly the point that type 1 diabetes is not associated with any of the lifestyle issues that we have discussed here already today. That fact, I think, does sometimes get lost in the drive to encourage children and adults to take up healthier eating and exercise habits to avoid getting type 2 diabetes, which I think is absolutely essential, but I think that the issue of type 1 diabetes is sometimes lost in that debate. I want to draw attention today to a constituent of mine, Beth Baldwin, who tragically lost her son Peter in 2015 when he was only 13 because of undiagnosed type 1 diabetes. This, of course, is a terrible tragedy for Peter's family and friends and it's even more awful when you think a simple finger-prick test that would have cost pennies could have diagnosed his diabetes. Beth has thrown herself into campaigning to raise awareness of this silent disease that strikes so suddenly in our young people. The symptoms can be masked by flu-like symptoms, as was the case with Peter. She is working with Diabetes Cymru UK to urge health practitioners and the general public to be more aware of the symptoms, which can be easily remembered as the four Ts - about being thirsty, needing the toilet, being more tired and being thinner. Around 25 per cent of young people diagnosed late with type 1 diabetes end up in intensive care and tragically, as in Peter's case, for some of them, this is too late. The test kit that can diagnose the diabetes is often given to GP practices free by pharmaceutical companies, but there is no culture of routine testing as there is for blood pressure, for example. The diabetes delivery plan takes into account type 1 diabetes and says: 'Type 1 diabetes requires prompt diagnosis and treatment to reduce the harm associated with diabetic ketoacidosis. This is imperative for children with possible type 1 diabetes; any child who is unwell and has any features of diabetes should have an urgent capillary blood glucose check and should be referred urgently (to be seen the same day) to specialist services if diabetes is suspected.' What my constituent would like to know from the Cabinet Secretary is: what practical measures are put in place to reinforce this message? Because I think the important issue about type 1 diabetes is education and awareness so that action can be taken swiftly. Simple things like posters, reminders, training events and maybe social media campaigns could perhaps be undertaken, and maybe are undertaken by Public Health Wales, so that the symptoms can be promoted and so that people at the primary care level are aware of what the symptoms are that can lead to such tragic results. Is it possible to outline in what way this is being measured or evaluated to ensure that the process for diagnosing type 1 diabetes outlined in the diabetes delivery plan is being followed? What commitment have health boards made to ensure that staff are being given the knowledge and equipment they need to recognise and test children with suspected type 1 diabetes quickly to avoid the serious complications of the late diagnosis? With the support of the Baldwin family, Diabetes UK Cymru will be launching a campaign to raise awareness of the symptoms of type 1 diabetes to the general public and healthcare professions, and I was wondering whether any support could be provided to aid this public campaign. I think, talking about type 1, it is essential that we do get this message across - that there are specific symptoms that can be recognised. We want to ensure that healthcare professionals are well aware of that and are able to act swiftly to do what they can to help prevent tragedies such as what happened to the family in my constituency. I'd just like to end by paying tribute to the Baldwin family and the way that the tragic death has led them to campaign to try to ensure that more recognition is given to the symptoms of type 1 diabetes.
Welsh: Roeddwn i eisiau canolbwyntio ar ddiabetes math 1 yn fy sylwadau heddiw, sy'n ddim ond 10 y cant o'r holl bobl â diabetes, ond mae'n 96 y cant o'r holl blant a phobl ifanc sydd â diabetes. Rwy'n gwybod bod y Gweinidog, yn ei gyflwyniad, wedi gwneud yn glir iawn y pwynt nad yw diabetes math 1 yn gysylltiedig â dim o'r materion ffordd o fyw yr ydym wedi'u trafod yma eisoes heddiw. Mae'r ffaith honno, rwy'n meddwl, weithiau'n mynd ar goll yn yr ymgyrch i annog plant ac oedolion i ddilyn arferion iachach o ran bwyta ac ymarfer corff i osgoi cael diabetes math 2, rhywbeth sy'n gwbl hanfodol yn fy marn i, ond rwy'n credu bod mater diabetes math 1 weithiau'n cael ei golli yn y ddadl honno. Hoffwn dynnu sylw heddiw at un o fy etholwyr, Beth Baldwin, a gollodd ei mab Peter yn drasig yn 2015 yn ddim ond 13 oed oherwydd diabetes math 1 heb gael diagnosis. Mae hyn, wrth gwrs, yn drasiedi ofnadwy i deulu a ffrindiau Peter ac mae hyd yn oed yn fwy ofnadwy o feddwl y byddai prawf pigo bys syml a fyddai'n costio ceiniogau wedi gallu rhoi diagnosis o'i ddiabetes. Mae Beth wedi ymroi i ymgyrchu i godi ymwybyddiaeth o'r clefyd tawel hwn sy'n taro ein pobl ifanc mor sydyn. Gall y symptomau gael eu cuddio gan symptomau tebyg i ffliw, fel a ddigwyddodd i Peter. Mae hi'n gweithio gyda Diabetes Cymru UK i annog ymarferwyr iechyd a'r cyhoedd yn gyffredinol i fod yn fwy ymwybodol o'r symptomau, sef bod yn sychedig, bod angen mynd i'r tŷ bach, bod yn fwy blinedig a bod yn deneuach. Mae tua 25 y cant o bobl ifanc sy'n cael diagnosis hwyr o ddiabetes math 1 yn diweddu mewn gofal dwys ac yn drasig, fel yn achos Peter, i rai ohonynt, mae hyn yn rhy hwyr. Mae'r pecyn profi sy'n gallu gwneud diagnosis o ddiabetes yn aml yn cael ei roi i feddygfeydd teulu am ddim gan gwmnïau fferyllol, ond nid oes diwylliant o brofi'n rheolaidd fel sydd ar gyfer pwysedd gwaed, er enghraifft. Mae'r cynllun cyflawni diabetes yn ystyried diabetes math 1 ac yn dweud: 'Mae angen diagnosis a thriniaeth brydlon ar gyfer diabetes math 1 i leihau'r niwed sy'n gysylltiedig â chetoasidosis diabetig. Mae hyn yn hanfodol i blant a allai fod â diabetes math 1; dylai unrhyw blentyn sy'n wael ac sydd ag unrhyw un o nodweddion diabetes gael archwiliad brys o glwcos yn y gwaed mewn capilari a dylid ei atgyfeirio ar frys (i gael ei weld ar yr un diwrnod) i wasanaethau arbenigol os amheuir diabetes.' Dyma beth hoffai fy etholwr ei wybod gan Ysgrifennydd y Cabinet: pa gamau ymarferol sy'n cael eu cymryd i atgyfnerthu'r neges hon? Oherwydd rwy'n meddwl mai'r mater pwysig am ddiabetes math 1 yw addysg ac ymwybyddiaeth fel y gellir cymryd camau yn gyflym. Efallai y gellid gwneud pethau syml fel posteri, nodiadau atgoffa, digwyddiadau hyfforddi ac ymgyrchoedd yn y cyfryngau cymdeithasol o bosibl, ac efallai fod Iechyd Cyhoeddus Cymru yn gwneud hynny, er mwyn hyrwyddo'r symptomau fel bod pobl ar lefel gofal sylfaenol yn ymwybodol o'r symptomau a all arwain at ganlyniadau trasig o'r fath. A yw'n bosibl amlinellu ym mha ffordd y mae hyn yn cael ei fesur neu ei werthuso i sicrhau bod y broses ar gyfer gwneud diagnosis o ddiabetes math 1 a amlinellir yn y cynllun cyflawni diabetes yn cael ei dilyn? Pa ymrwymiad y mae byrddau iechyd wedi'i wneud i sicrhau bod staff yn cael yr wybodaeth a'r offer sydd eu hangen arnynt i adnabod a phrofi plant â diabetes math 1 a amheuir yn gyflym er mwyn osgoi cymhlethdodau difrifol y diagnosis hwyr? Gyda chefnogaeth y teulu Baldwin, bydd Diabetes UK Cymru yn lansio ymgyrch i godi ymwybyddiaeth o symptomau diabetes math 1 i'r cyhoedd cyffredinol a'r proffesiynau gofal iechyd, ac roeddwn yn meddwl tybed a ellid darparu unrhyw gefnogaeth i gynorthwyo'r ymgyrch gyhoeddus hon. Rwy'n meddwl, wrth siarad am fath 1, ei bod yn hanfodol ein bod yn cyfleu'r neges hon - bod symptomau penodol y gellir eu hadnabod. Hoffem sicrhau bod gweithwyr gofal iechyd proffesiynol yn ymwybodol iawn o hynny ac yn gallu gweithredu'n gyflym i wneud yr hyn a allant i helpu i atal trychinebau fel yr hyn a ddigwyddodd i'r teulu yn fy etholaeth. Hoffwn ddiweddu drwy dalu teyrnged i'r teulu Baldwin a'r ffordd y mae'r farwolaeth drasig wedi eu harwain i ymgyrchu i geisio sicrhau bod symptomau diabetes math 1 yn cael mwy o sylw.