| Autor: |
D M, Barton, V, Baskar, D, Kamalakannan, H N, Buch, K, Gone, E, Wilson, J, Anderson, T A M, Abdu |
| Rok vydání: |
2003 |
| Předmět: |
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| Zdroj: |
Diabetic medicine : a journal of the British Diabetic Association. 20(5) |
| ISSN: |
0742-3071 |
| Popis: |
To assess the process of clinical care and outcomes of young patients with diabetes attending clinics at a large district general hospital.Retrospective analysis of data obtained from 106 case notes of patients aged 12-22 years attending the paediatric, combined adolescent or adult diabetes clinics between 1998 and 2000. The frequency of follow-up, rate of admission, glycaemic control, systolic blood pressure, weight change and screening for complications were assessed.The mean attendance rate was 78%. The admission rate was 91 admissions per 1000 patient years. Overall, the mean HbA1c was 9.1% with only 15% of paediatric and adolescent patients having mean HbA1cor= 8.0%. Mean systolic blood pressure was 124 mmHg. There was a significant increase in obesity with mean weight for height at diagnosis increasing from 89% to 111% after 7 years of diabetes. Mean daily insulin dose was 1.51 U per kg body weight and decreased with increasing age. Screening for complications and associated conditions was variable: 91% for retinopathy, 86% for foot problems, 64% for thyroid dysfunction, 22% for coeliac disease and 10% for microalbuminuria. The overall rate of retinopathy was low at 4% of those screened.Providing satisfactory care for young people with diabetes remains a difficult challenge. Although the complication rate observed was low in this group, the most important issues are the need for improvement in glycaemic control, weight gain and high drop-out rate. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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