medigraphic.com
ISSN 0035-0052 (Print)

2013, Number 5

<< Back Next >>

Rev Mex Pediatr 2013; 80 (5)

Clinical and laboratory characteristics in children with diabetes mellitus

Braverman BA, Rendón MME, Iglesias LJ, Bernárdez ZI, Antillón FC

Language: Spanish
References: 20
Page: 200-205
PDF size: 106.99 Kb.


ABSTRACT

Objective: Knowing the characteristics of the children at the time of diabetes mellitus (DM) diagnosis in a private hospital.
Material and methods: Information was obtained from children diagnosed with diabetes treated at the hospital between the years 2000-2012, classified according to the AAD: we also reviewed cases with ketoacidosis.
Results: Of the 87 children with diabetes, 81 with DM 1, two type DM 2 cases in three MODY and one secondary. Age at diagnosis was between 5 and 9 years, children with DM 2 were in women older than 10 years are overweight; 54% of cases were diagnosed in ketoacidosis. The most frequent and serious complication occurred in children under two years: of these 93.6% were hospitalized and 23.4% had intensive management.
Conclusions: In children predominated the DM 1, identified by ketoacidosis DM 2 cases were few and were related to obese children.


REFERENCES

  1. American Diabetes, Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2012; 35(Suppl 1): S64-71.

  2. Gyurus. EK, Patterson GS; Group Hungarian Childhood Diabetes Epidemiology. Twenty-one years of prospective incidence of childhood type 1 diabetes in Hungary—the rising trend continues (or peaks and highlands?). Pediatr Diabetes. 2010; 13(1): 21-5.

  3. Samuelsson U, Stenhammar L. Clinical characteristics at onset of type 1 diabetes in children diagnosed between 1977 and 2001 in the south-east region of Sweden. Diabetes Res Clin Pract. 2005; 68(1): 49-55.

  4. Libman IM. Epidemiología de la diabetes mellitus en la infancia y adolescencia: tipo 1, tipo 2 y ¿diabetes doble? Rev Argentina de Endoc y Metab. 2009; 46(3): 22-36.

  5. Frenk P, Márquez E. Diabetes mellitus tipo 2 en niños y adolescentes. Med Int Mex. 2010; 26(1): 36-47.

  6. Bingley PJ. Clinical applications of diabetes antibody testing. J Clin Endocrinol Metab. 2010; 95(1): 25-33.

  7. Soltesz G, Patterson CC, Dahlquist G, Worldwide childhood type 1 diabetes incidence – what can we learn from epidemiology? Pediatric Diabetes. 2007; 8(Suppl 6): 6-14.

  8. Akesen E, Turan S, Guran T, Atay Z, Save D, Bereket A. Prevalence of type 1 diabetes mellitus in 6-18 years-old school children living in Istanbul, Turkey. Pediatr Diabetes. 2011; 12(6): 567-71.

  9. Karvonen M, Viik-Kajander M, Moltchanova E, Libman I, LaPorte R, Tuomilehto J. Incidence of childhood type 1 diabetes worldwide. Diabetes Mondiale (Diamond) Project Group. Diabetes Care. 2000; 23(10): 1516-26.

  10. Encuesta Nacional de Salud 2006. Available at: www.insp.mx/ensanut/ensanut2006.pdf

  11. Gale EA. The rise of childhood type 1 diabetes in the 20th century. Diabetes. 2002; 51(12): 3353-61.

  12. Wherrett DK, Daneman D. Prevention of type 1 diabetes. Endocrinol Metab Clin North Am. 2009; 38(4): 777-90.

  13. Sadauskaite-Kuehne V, Samuelsson U, Jasinskiene E, Padaiga Z, Urbonaite B, Edenvall H et al. Severity at onset of childhood type 1 diabetes in countries with high and low incidence of the condition. Diabetes Res Clin Pract. 2002; 55(3): 247-54.

  14. Fernández SB, Hernández AM, Viguri R. Mortalidad por diabetes mellitus en menores de 15 años, México, 2000-2009. Bol Hosp Infant Mex. 2011; 65(5): 405-7.

  15. Patel P, Macerollo A. Diabetes mellitus: diagnosis and screening. Am Fam Physician. 2010; 81(7): 863-70.

  16. Wolfsdorf J, Craig ME, Daneman D, Dunger D, Edge J, LeeW et al. ISPAD Clinical Practice Consensus Guidelines 2009 Compendium Diabetic ketoacidosis in children and adolescents with diabetes. Pediatric Diabetes. 2009: 10(Suppl 12): 118-33.

  17. Zorrilla B, Cantero JL, Barrios R, Ramírez J, Argente J, González A. Incidencia de diabetes mellitus tipo 1 en niños: resultados del registro poblacional de la comunidad de Madrid, 1997-2005. Med Clin (Barc). 2009; 132(14): 545-8.

  18. Bonifacio E, Ziegler AG. Advances in the prediction and natural history of type 1 diabetes. Endocrinol Metab Clin North Am. 2010; 39(3): 513-25.

  19. Maahs DM, West NA, Lawrence JM, Mayer-Davis EJ. Epidemiology of type 1 diabetes. Endocrinol Metab Clin North Am. 2010; 39(3): 481-97.

  20. Asenjo S, Muzzo S, Pérez MV, Ugarte F, Willshaw ME. Consenso en el diagnóstico y tratamiento de la diabetes tipo 1 y del adolecente. Rev Chil Pediatría. 2007; 78(5): 354-61.




2020     |     www.medigraphic.com