CHILDHOOD DIABETES MELLITUS IN THI-QAR CITY

Authors

  • MOAYYAD NAJI MAJEED Paediatric Department, College of Medicine Thi-qar University, Thi -qar , Iraq

Keywords:

Childhood diabetes Mellitus, Thi-Qar

Abstract

This retrospective study was done on 179 of newly diagnosed children with insulin-dependent diabetes mellitus who were admitted over 5 years (Jan. 2003- Dec. 2007) to two main hospitals in Thi-qar city-Iraq . Majority of patients (79,3%) were between 5-12 years of age ,while the minority (20,6%) were less than 5 Years of age. The frequency of cases was correlated with increasing age . Male cases were 100 (55,8%) , females were  79 (44%) , male to female ratio was 1,2:1. Family history was positive in 81(45%) cases . Most of our patients 58% were from urban areas , while those from rural areas constitute 42%. Clinically 114(63,6%) patients presented with the classical symptoms of type 1 diabetes mellitus. At the onset 43 (24%) patients had ketoacidosis, five of whom were comatose. Most cases / 111(62%) presented in Winter and Autumn seasons, showed male predominance, shorter duration of symptoms and commoner presentation of ketoacidosis than in the other seasons. Thirty-two patients were had preceding history of viral illness or emotional stress during 2-4 weeks before presentation.

References

Mark A.S., Diabets Mellitus . In: Nelson Textbook of Paediatric (16th) by Richard B, Robert MK , Waldo EN and Victor CV III, W.B. Saunder , 2000, 390-408 .

Dorman JS, Neelon FA, Koehler AN . Epideminlogy of childhood diabets . In kelnar CJ.H (ed) Childhood and adolescent diabetes, Chapman and Hall, London . 1995. 139-160 .

Jabri AM , Kadhem KL, Hamdi NA .Diabetes mellitus in childhood , Journel of the Faculty of medicine, Baghdad , 1989, 31 (3) 337-343 .

Abdullah Am. The clinical presentation of childhood diabetes mellitus , Saud Med Journal 1989; 10 (6) 495-497 .

Cahill Gf , MeDevitt HO . Insulin-dependent diabetes mellitus: the initial lesion. N Eng J Med, 1991;304 :1454-1464 .

Jeferosn IG, Smith MA , Bown JD. Insulin depedent diabetes in under 5 years old , Archieves of diseases in childhood , 2000, 60 : 1144- 1148 .

Christau B , Akerblom H , Joner G , Dahlqiust G , Ludvigsson J, and Nerup J. Incidence of childhood IDDM in Denmark, Finald , Norway and Sweden. Acta endocrinologica , 1996, (suppl.245) : 68-80

D-lee Sutton, David M. Incidence and prevalence of IDDM in the zero to 19 years age group in Sydney . Med .J. Australia .1998, 151,(3):571-578 .

Shah MD , Aporna Tiko , Mehta P, Kulkarni M. Epidemiology of childhood diabetes in India- in Mimura G ,et al ,eds Childhood diabetes in Asia . Tokyo Medical Jourral , 1999 : 106-114 .

Ehrlich RM , Walsh , Falk JA , Middleton Pj and Simpson NE .The incidence of IDDM in Toronto, Canada . diabetologia 1982 , 22 (4) : 289-291 .

Schober, E and Frisch H. Incidence of childhood diabetes mellitus in Austria 1979-1984 . Acta Paediatrica Scandinavica 77 (2) : 299-302 .

Allen C, Patta M, D,alessio DJ . Incidence and differences in urban- rural seasonal variation of IDDM in Wisconsin , diabetologia, 1996-29 : 629-33.

Laporte RE, Orchard TJ , Kuller LH , Wagner DK, et al .the Pittsburgh IDDM registry : the relationship of IDDM incidence to social class . Am J Epidemiol , 1981;114 :379-84

Mimura G. Epidemiology of diabetes in Asia especially in Japan in Rodriguez RR, Vallance OJ , eds. Diabets proceedings VII congress of the international federation .Amsterdam: Excepta Medica, 1999: 331-344

Mohammed Al-Hussein. Iselt cell antibodies . Epidemiologic reviews. 1998, John Hopkins University, USA (11) : 657 .

Knowles HC , et al . The course of juvenile diabetes treated with unmeasured diet. Diabetes 2003 (145 : 239-237.

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2021-09-15

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