“Children with Type 1 Diabetes Mellitus Presenting With Ketoacidosis: Frequency, Severity And Clinical Profile”
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
Background: Worldwide, approximately 65,000 children aged under 15 years develop T1DM each year. Objective: To identify & describe the frequency and severity of DKA & clinical profile at diagnosis of type 1 diabetes mellitus in children in our hospital. Material &Methods: It is a hospital based retrospective study done during January 2015 to January 2017,in children admitted in paediatric intensive care at niloufer hospital attached to Osmania medical college , Hyderabad. Results: Out of 70 children admitted during 24months period, females were 44 (64%), 42(60%) were <10 years of age and 56 (80%) were of rural background. 68% of children had DKA at diagnosis of Diabetes mellitus-1. Among the 70 admitted patients 66 (94%) improved and were discharged. Conclusions: Since almost half of the patients present with fever and altered sensorium, this can result in them being misdiagnosed as acute infection of central nervous system,,hence bedside blood glucose levels must be monitored on admission to identify T1DM early and thus prevent potentially fatal complication like DKA. Delay in diagnosis may be the factor for majority of DKA cases being severe type
Authors and Affiliations
Dr. Kattupalli Yashwanth, Dr. Chirnapally Rukesh chary
Keywords
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- EP ID EP238362
- DOI 10.9790/0853-1611055255
- Views 166
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