Study the incidence of Diabetes mellitus Type 1among children in primary school age (original) (raw)
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Journal of Diabetes Investigation
Aims/IntroductionWe aimed to determine the incidence trend of childhood type 1 diabetes mellitus in Isfahan province over a period of 12 years.Materials and MethodsIn this retrospective study, children aged <20 years at the time of type 1 diabetes mellitus diagnosis, from March 2007 to March 2019, were included. The crude and adjusted incidence rate of type 1 diabetes mellitus is calculated as the number of cases per 100,000 person‐years by the period. The cumulative, age‐ and sex‐specific incidence rates were also calculated. Age‐specific incidence rates were calculated for age and sex groups.ResultsA total of 1,954 (983 boys and 971 girls) cases of type 1 diabetes mellitus were identified. The mean age at diagnosis in all studied populations was 9.89 (standard deviation 4.76). There were no significant differences between the proportion of boys and girls in different years (P = 0.12) and different age groups (P = 0.19). The average annual percent change of incidence rate for th...
2021
Received: 16/03/2021 Accepted: 16/05/2021 Diabetes Mellitus consider as a common chronic health condition throughout the world and the most common endocrine disease in children and adolescences. The study aim is to determine the risk factors, which lead to type 1 diabetes mellitus among children and adolescent in diabetes health center at Sulaimani city. the study was conducted using descriptive cross sectional study at a special center for Type 1 Diabetes Miletus A questionnaire was created and administered to a (170 ) mothers or fathers as a convenience sample. Descriptive statistics analysis such as (frequency, percentage, mean and stander deviation) and also to identify the effective factors affecting diabetes in children and Adolescents Factorial analysis (principal component analysis) was used. The finding show that, 39.4 % of samples were aged between (9-13) years old, which stated as the highest rate among all age groups, while the minority of age was between (1-4) years old...
Journal Of Preventive Medicine And Care, 2016
Objectives. This study describes and compares the epidemiological criteria of children with diabetes from 2007 to 2014. Methods. A prospective study conducted with 372 children with diabetes mellitus. An access program was used for data collection, and SPSS 17 was used to analyses the results. Results. A total of 372 cases with diabetes were studied and were divided into three groups according age. The first age group was between one day and six years and comprised 128 (34.4%) patients. The second group aged 7-12 years of age comprised 174 (46.7%) patients. The third group aged 13-18 years of age comprised 58 (15.59%) patients. The average age was 8.32 years. Females constituted 52 % (194 cases) of all cases. T1DM constituted 95.4%, equal to 355 patients, T2DM constituted 1.88%, equal to seven cases. Monogenic diabetes affected three patients or 0.79%, with one case of monogenic neonatal diabetes confirmed by genetic study, and two other cases suspected to be MODY. The highest incidence was observed in the autumn months, with 105 children affected, constituting 27.8 % cases. The year 2012 had the highest incidence rate, with 59 children and adolescents affected at an incidence rate of 25.48 / 100000.Al-Baha region had the highest number of cases constituting 37.7 % of cases. Diabetic ketoacidosis was the first presentation and constituted 44.2% of cases. Conclusion. Diabetes in children is increasing significantly in recent years, requiring more detailed analysis of its epidemiological factors to find out any significant correlations which may help in its prevention.
2021
Type 2 diabetes in children and adolescents is a rising and ongoing problem around the world. It has adverse medical and economic consequences, and it is underestimated in many countries. Highlight characteristics of children presented with type 2 diabetes, and estimate the prevalence of such type of diabetes among newly diagnosed pediatrics. A total of 253 children and adolescents were diagnosed with diabetes. A thorough history and complete physical examination were done on all patients. Patient's samples were sent for assessment of serum C peptide levels and glycated haemoglobin <em>(</em>HbA1c<em>). </em>16 out of 253 newly diagnosed patients with diabetes have been found to have type 2 diabetes (proportion was 6.32%) with a mean age of 14.78 ± 2.87. All 16 patients had a positive family history and high body mass index, which sig- nificantly differ from type 1 diabetes patients. Also, all showed acanthosis nigricans and higher C-peptide levels than t...
Demographic Characteristics of Type 1 Diabetic Children and Adolescents in Hamadan, Iran
Journal of research in health sciences, 2015
BACKGROUND Type 1 diabetes mellitus is the most common endocrine disease in pediatric. We aimed to determine the demographic characteristics at presentation of childhood type 1 diabetes mellitus in Hamadan, west province of Iran. METHODS In this cross sectional descriptive study, demographic data of children with type 1 diabetes mellitus being followed up in Pediatric Endocrinology Clinic of Besat Hospital Hamedan Iran, were analyzed. A detailed record of the required information including the age, sex, Place of living(urban, rural), season, disease presentation, parental consanguinity (1st cousin relation),The mean mother's age at delivery, BMI ,birth seasonality and birth order were collected. The data was analyzed by standard statistical package SPSS, version 15.0. Results with p-value less than 0.05 were defined as statistically significant. RESULTS In total, 150 patients (85 boys) were included. The mean age at diagnosis was 8.47 (ranged from 2 months to 17.5 years). The pe...
The Prevalence of Type 1 Diabetes in Children of Mazandaran Province
علوم بهداشتی ایران, 2018
Background and purpose: The prevalence of type 1 diabetes in all countries throughout the world is different. In this study, an introduction is, therefore, provided for the development of type 1 diabetes in children in Mazandaran province by using all available resources. Methods: In this descriptive cross-sectional study, the prevalence of patients with initial diagnosis of type 1 diabetes mellitus, aging from 6 months to 18 years, was located through contacting and referring to all organizations of insurers and doctors or experts in children endocrinologist and adolescent diseases in Mazandaran province. Results: 289 patients with type 1 diabetes were identified, 138 of whom were male (47.8%), and 151 were women (52.2%) with an overall prevalence of 0.04%, and the rate of this prevalence was 48 cases among 100000 people (50 cases among 100000 girls and 36 cases among 100000 boys). The mean age of the patients was 11.5 years old. In the study of delivery method, 180 patients (62.3%) were diagnosed with cesarean section, and 109 (37.7%) were born through natural delivery method. The mean age of onset of diabetes was 7 years. The minimum and maximum ages were 7 months and 18 years, respectively. 97 (33.6%) of the patients were also hospitalized for the first time due to ketoacidosis, and were diagnosed with diabetes. Conclusion: Type 1 diabetes in Mazandaran province was more prevalent than the similar study in southern Iran and neighboring countries. It is essential to pay greater attention to this disease through studying it in the other parts of the country.
Clinical presentation of childhood type 1 diabetes mellitus in the Al-Madina region of Saudi Arabia
Pediatric Diabetes, 2004
Aim: To describe the clinical pattern and the laboratory characteristics at presentation of childhood type 1 diabetes mellitus in the Al-Madina region of the northwest province of Saudi Arabia. Methods: The clinical and laboratory data of a total of 230 children who presented with diabetes during a 10-year period (1992-2001) were retrospectively analyzed based on hospital records. Results: Polyuria and polydipsia were by far the most frequent symptoms at presentation (96%); three quarters of the children (76.6%) had weight loss at presentation. One hundred and twenty-seven children (55.2%) of 230 presented with ketoacidosis. The mean age at diagnosis was 6.9 yr. The average duration of presenting symptoms before the hospital encounter was 17.1 d ranging from 3.0 to 45.0 d, with an average of 16.2 d in boys and 17.7 d in girls, a difference which was not significant. Conclusion: Polyuria, polydipsia, and weight loss are the most common symptoms at presentation of childhood diabetes mellitus in our region. The frequency of diabetic ketoacidosis was relatively high. The commonly recognized symptoms of diabetes were present in most of the children for a relatively long duration before the diagnosis. This calls for a collaboration of efforts for the early recognition of symptoms by patients and physicians to avoid the more severe types of presentation.
The Medical Journal of Cairo University, 2019
Background: Since risk factors for development of type 1 diabetes mellitus vary greatly between different countries, so study of the epidemiological features of type 1 diabetes mellitus in our country may suggest the most important risk factors that could be prevented in the future. We aimed to identify the main epidemiological patterns and risk factors for newly diagnosed children with T1DM in Egypt. Aim of Study: To determine the rate of newly diagnosed type 1 diabetes and to find out the different risk factors associated with type 1 DM among infants and children attended Assiut University Children Hospital. Patients and Methods: A descriptive case-control hospital based study included 179 case of newly diagnosed T1DM children who attended Assuit University Children Hospital and similar number as a controls during a period of one year. Results: Our results indicate that our study children with T1DM had positive family history of DM, about 76% of them ingest junk foods, with late age of introduction of cereal and gluten, small for gestational age delivery, with prolonged normal vaginal delivery and high socioeconomic state. Conclusion: Environmental factors have an important role in development of T1DM in the form of exposure to environmental risk factors during perinatal and neonatal period and also exposure to environmental factors during the first years of life as feeding pattern. There was no significant statistically difference as regard viral infection and maternal diseases.
The Central European Journal of Paediatrics, 2018
Objective − To investigate the epidemiological, clinical and laboratory features of children and adolescents with newly diagnosed type 1 diabetes mellitus (T1DM) treated at the Clinical Hospital Centre, Rijeka. Methods − The medical records of 83 hospitalized children were analysed retrospectively by gender and age subgroups. Results − The mean age of children at diagnosis was 8.40±4.82 years. At T1DM onset, the number of children ≤5, between 6-10 and ≥11 years old was 31 (37.3%), 23 (27.7%) and 29 (34.9%), respectively. The patients were mostly diagnosed at ages 2-4 years (18.1%), followed by the 12-14 years age group (15.7%). Mean duration of symptoms was 21.96±27.92 days. The symptoms lasted significantly longer (P=0.0116) and mean glycosylated hemoglobin A1c (HbA1c) was significantly higher (P=0.0039) in the ≥11 years subgroup. Polyuria and polydipsia were the most common symptoms (90.36%). 25.3% of patients had diabetic ketoacidosis (DKA). Conclusion − The age at T1DM onset has been decreasing. The symptoms lasted significantly longer and mean HbA1c levels were significantly higher in older children. The incidence of DKA in children with newly diagnosed T1DM is still high and includes one quarter of all patients.