Cuadro clínico de inicio de la diabetes tipo 1 en el niño
Background: Type 1 diabetes mellitus (DM1) is a disease of increasing incidence among children. The time elapsed between the beginning of symptoms and the diagnosis of the disease is, in most cases, very extended. Aim: To report the clinical picture at onset and laboratory features of children with...
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| Lenguaje: | Spanish / Castilian |
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Sociedad Médica de Santiago
2006
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oai:scielo:S0034-988720060012000072007-01-24Cuadro clínico de inicio de la diabetes tipo 1 en el niñoHodgson B,María IsabelOssa A,Juan CristóbalVelasco F,NicolásUrrejola N,PascualaArteaga Ll,Antonio Diabetes complications Diabetes mellitus, type 1 Ketoacidosis, diabetic Background: Type 1 diabetes mellitus (DM1) is a disease of increasing incidence among children. The time elapsed between the beginning of symptoms and the diagnosis of the disease is, in most cases, very extended. Aim: To report the clinical picture at onset and laboratory features of children with DM1. Material and methods: Retrospective review of all medical records of patients admitted to the hospital with a DM1 of recent onset. Results: Sixty three males aged 95±47 months and 34 females aged 109±51 months, were studied. Males were significantly younger than females (p <0.05). The lapse between symptoms onset and the diagnosis of the disease was longer in girls than in boys (46±46 and 26±26 days respectively, p <0.02). There was an inverse correlation between plasma glucose and the lapse between symptoms onset and the diagnosis of disease. The most common clinical picture of the disease was the classical symptoms of diabetes (polyuria, polydipsia, weight loss), in 60% of cases. Thirty seven percent had developed ketoacidosis at the time of the diagnosis. Ketoacidosis was more common between 1988 and 1995, as compared with the period 1996-2003 (50% and 28.8%, respectively). The onset of symptoms occurred between April and August (Winter in the Southern Hemisphere) in 38% of cases. Conclusions: DM1 is a disease of increasing incidence among children, whose diagnosis is delayed, even though symptoms are evident. The lower incidence of ketoacidosis in our patients between 1996 and 2003 is encouraginginfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.134 n.12 20062006-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006001200007es10.4067/S0034-98872006001200007 |
| institution |
Scielo Chile |
| collection |
Scielo Chile |
| language |
Spanish / Castilian |
| topic |
Diabetes complications Diabetes mellitus, type 1 Ketoacidosis, diabetic |
| spellingShingle |
Diabetes complications Diabetes mellitus, type 1 Ketoacidosis, diabetic Hodgson B,María Isabel Ossa A,Juan Cristóbal Velasco F,Nicolás Urrejola N,Pascuala Arteaga Ll,Antonio Cuadro clínico de inicio de la diabetes tipo 1 en el niño |
| description |
Background: Type 1 diabetes mellitus (DM1) is a disease of increasing incidence among children. The time elapsed between the beginning of symptoms and the diagnosis of the disease is, in most cases, very extended. Aim: To report the clinical picture at onset and laboratory features of children with DM1. Material and methods: Retrospective review of all medical records of patients admitted to the hospital with a DM1 of recent onset. Results: Sixty three males aged 95±47 months and 34 females aged 109±51 months, were studied. Males were significantly younger than females (p <0.05). The lapse between symptoms onset and the diagnosis of the disease was longer in girls than in boys (46±46 and 26±26 days respectively, p <0.02). There was an inverse correlation between plasma glucose and the lapse between symptoms onset and the diagnosis of disease. The most common clinical picture of the disease was the classical symptoms of diabetes (polyuria, polydipsia, weight loss), in 60% of cases. Thirty seven percent had developed ketoacidosis at the time of the diagnosis. Ketoacidosis was more common between 1988 and 1995, as compared with the period 1996-2003 (50% and 28.8%, respectively). The onset of symptoms occurred between April and August (Winter in the Southern Hemisphere) in 38% of cases. Conclusions: DM1 is a disease of increasing incidence among children, whose diagnosis is delayed, even though symptoms are evident. The lower incidence of ketoacidosis in our patients between 1996 and 2003 is encouraging |
| author |
Hodgson B,María Isabel Ossa A,Juan Cristóbal Velasco F,Nicolás Urrejola N,Pascuala Arteaga Ll,Antonio |
| author_facet |
Hodgson B,María Isabel Ossa A,Juan Cristóbal Velasco F,Nicolás Urrejola N,Pascuala Arteaga Ll,Antonio |
| author_sort |
Hodgson B,María Isabel |
| title |
Cuadro clínico de inicio de la diabetes tipo 1 en el niño |
| title_short |
Cuadro clínico de inicio de la diabetes tipo 1 en el niño |
| title_full |
Cuadro clínico de inicio de la diabetes tipo 1 en el niño |
| title_fullStr |
Cuadro clínico de inicio de la diabetes tipo 1 en el niño |
| title_full_unstemmed |
Cuadro clínico de inicio de la diabetes tipo 1 en el niño |
| title_sort |
cuadro clínico de inicio de la diabetes tipo 1 en el niño |
| publisher |
Sociedad Médica de Santiago |
| publishDate |
2006 |
| url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006001200007 |
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