In:
Turkish Journal of Pediatric Disease, Turkish Journal of Pediatric Disease
Abstract:
Objective: Type 1 diabetes mellitus (Type 1 DM) is the most common endocrine-metabolic disorder at childhood and adolescence. In this study, it was aimed to determine the risk factors for poor metabolic control in Type 1 DM, the frequency of infection in the cases, the frequency of accompanying autoimmune diseases, the effect of Type 1 DM on the final height and body mass index (BMI) and to review the treatment and follow-up.
Material and Methods: The present study included 184 children and adolescent with Type 1 DM. The patient charts were retrospectively reviewed and a questionnaire was applied including sociodemographic characteristics of the patients, and history of infection. Results: Of the cases included, 53.5% were girl whereas 46.7% were boy with a mean age of 12.71±0.31 years. Mean age at diagnosis was 7.71±0.29 years while mean Hb1ac value was 8.45±1.78. No correlation was found between mean HbA1c value and family history for diabetes mellitus, household size, residency and monthly income. Since type 1 DM is a chronic disease, the final dye effect in patients was made by comparing the target height with the final height. It was observed that 29 patients who reached to final height passed over their target height. It was determined that as the mean HbA1c value, which is an indicator of metabolic control, increased, microalbuminuria and neuropathy increased. There was no severe infection requiring hospitalization. The mean number of infection per year was 2.3 and there was no increase in the frequency of infection.
Conclusion: In conclusion, duration of disease and increased age, puberty, socioeconomic status, incompliance to dietary recommendation and failure in attending control visits were identified as risk factor for poor metabolic control in patients with Type 1 DM. It was found that patients reached to target height by improved metabolic control. No increase in infection rate or severe infection requiring hospitalization was observed in our patients. The frequency of autoimmune diseases was similar to the literature.
Type of Medium:
Online Resource
ISSN:
1307-4490
Uniform Title:
Tip 1 Diyabet Hastalarının Glisemik Kontrolleri, Etkileyen Faktörler ve Tip 1 Diyabet ile Enfeksiyon Sıklığı İlişkisi
DOI:
10.12956/tchd.925713
Language:
Turkish
,
Turkish
Publisher:
Turkish Journal of Pediatric Disease
Publication Date:
2022
detail.hit.zdb_id:
3030676-0
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