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3 - Epidemiologic features of children with type 1 diabetes mellitus followed up in childhealth and diseases clinic of Bakırköy Dr. Sadi Konuk Education and ResearchHospital
Aysun KARADAĞ, Yalçın ÇELİK, M. Özgür TOKLUCU, Canan HASBAL, Sami HATİPOĞLU
Purpose: To evaluate the epidemiologic features of the children diagnosed with type 1 diabetes mellitus followed up in Child Health and Diseases Clinic of Bakırköy Dr. Sadi Konuk Education and Research Hospital. Material and methods: We investigated epidemiologic features of 51 patients (30 girls and 21 boys) between 2 - 14 years of age followed up in our clinic between 2002 and 2006. The distribution of gender, diagnose age, and application seasons of the patients were examined. According to their complaints, they were divided into three groups such as nausea-vomitingheadache- abdominal pain- fainting, polyuria- polydypsiapolyphagia- weight loss and those who don?t have any complaints. According to biochemical and physical findings, they were divided into four groups: hyperglycemia-glucosuria, ketonuria- ketonemia, diabetic ketoacidosis and coma. The family history and levels of HbA1c were evaluated. Data: The age of diagnosis reached the peak level between 4 and 6 (n=16, %31.37). Admissions to hospital were mostly during spring season (n=15, %29.4). It was determined that the most frequent complaints were nausea, vomiting, abdominal pain, headache and fainting (n=25, %49). 10 patients did not have any complaints. Their diagnosis was made by routine investigation (%19.6). According to biochemical and physical examination, hyperglycemia- glucosuria were the most frequent findings (n=21, %41.2). Diabetes mellitus was detected in the first grade relatives of 6 patients (%11.76). HbA1c levels of 27 patients were above the reference interval (%52.9). Conclusion: It was seen that the ages during the diagnosis of our cases made peak between 4 and 6 years. It may be thought that this result is related to the increased frequency of viral infections and consumption of nonorganic foods in this age group. It was seen that ten patients had no complaints during the diagnose time. Therefore diabetes mellitus must be considered while examining the tests that are taken for other purposes.
Keywords: Child, Diabetes, Epidemiology
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