Clinical and laboratory profile of pediatric and adolescent patients with type 1 diabetes
| Autor: | Sofia Helena Valente de Lemos-Marini, Maria Fernanda Vanti Macedo Paulino, Raphael Del Roio Liberatore Junior, Gil Guerra-Júnior, Adriane de A. Cardoso-Demartini, Laura Pereira da Silva Jose, Albertina Gomes Rodrigues |
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| Rok vydání: | 2009 |
| Předmět: |
Diabetes duration
Adult Male medicine.medical_specialty Pediatrics Glucose control Adolescent medicine.medical_treatment Insulin dose Young Adult Diabetes mellitus parasitic diseases Medicine Humans Hypoglycemic Agents Insulin Child Glycated Hemoglobin Type 1 diabetes business.industry Hospitals Public Mean age medicine.disease Surgery Diabetes Mellitus Type 1 Child Preschool Pediatrics Perinatology and Child Health Brazilian population Female business Epidemiologic Methods Brazil |
| Zdroj: | Jornal de pediatria. 85(6) |
| ISSN: | 1678-4782 |
| Popis: | Objective: To evaluate clinical and laboratory profiles of patients with type 1 diabetes mellitus in three public hospitals in Sao Paulo, Brazil, since type 1 diabetes mellitus is a chronic illness that occurs mainly in the pediatric age group in the Brazilian population. Methods: Cross-sectional study with patients followed up in reference centers in Sao Jose do Rio Preto (FAMERP), Campinas (UNICAMP) and Sao Paulo (Conjunto Hospitalar do Mandaqui). Data about gender, age, diabetes duration, daily insulin dose, number of daily insulin injections, and glycosylated hemoglobin (HbA1c) were analyzed. Results: Two hundred and thirty-nine patients (131 female) were evaluated; mean age was 13.1±4.7 years and mean diabetes duration was 6.6±4.2 years. Daily insulin doses ranged from 0.1 to 1.78 units/kg/day (0.88±0.28), and 180 (74.7%) patients had two daily injections. HbA1c ranged from 4.6 to 17.9% (10.0±2.3%). Conclusions: Although the hospitals included in this study are excellence centers for the follow-up of patients with diabetes in three municipalities in the state of Sao Paulo, one of the most developed states in Brazil, blood glucose control evaluated according to HbA1c was not adequate. Findings confirm that, despite the efforts of all the professionals involved, great challenges still lie ahead. |
| Databáze: | OpenAIRE |
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