“Children with Type 1 Diabetes Mellitus Presenting With Ketoacidosis: Frequency, Severity And Clinical Profile”
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
Background: Worldwide, approximately 65,000 children aged under 15 years develop T1DM each year. Objective: To identify & describe the frequency and severity of DKA & clinical profile at diagnosis of type 1 diabetes mellitus in children in our hospital. Material &Methods: It is a hospital based retrospective study done during January 2015 to January 2017,in children admitted in paediatric intensive care at niloufer hospital attached to Osmania medical college , Hyderabad. Results: Out of 70 children admitted during 24months period, females were 44 (64%), 42(60%) were <10 years of age and 56 (80%) were of rural background. 68% of children had DKA at diagnosis of Diabetes mellitus-1. Among the 70 admitted patients 66 (94%) improved and were discharged. Conclusions: Since almost half of the patients present with fever and altered sensorium, this can result in them being misdiagnosed as acute infection of central nervous system,,hence bedside blood glucose levels must be monitored on admission to identify T1DM early and thus prevent potentially fatal complication like DKA. Delay in diagnosis may be the factor for majority of DKA cases being severe type
Authors and Affiliations
Dr. Kattupalli Yashwanth, Dr. Chirnapally Rukesh chary
Keywords
Related Articles
- EP ID EP238362
- DOI 10.9790/0853-1611055255
- Views 81
- Downloads 0
Effect of Early Immunonutrient Supplementation after Enteric Anastomosis in the Prevention of Post Operative Complications As Compared To Conventional Approach
This study was conducted to determine whether post-operative immuno nutrition in patients undergoing elective / emergency gastrointestinal anastomosis (malignant or benign disease) could improve clinical outcome. In the...
Chest X Ray findings in New Sputum Positive Pulmonary Tuberculosis
Background: Tuberculosis remains a worldwide public health problem. The guidelines of RNTCP suggest sputum as the initial diagnostic test for Tuberculosis. If sputum test is positive in patients who are receiving Anti tu...
Tolosa-Hunt Syndrome: a rare case report
The syndrome of painful ophthalmoplegia consists of periorbital or hemicranial paincombined with ipsilateral ocular motor nerve palsies, oculosympathetic paralysis, and sensory loss in the distribution of the ophthalmic...
Clinical Study of Cholesteatoma in Otitis Media
Introduction: The introduction of the otomicroscope in ear surgery has undoubtedly resulted in a better and more scientific approach to ear disease and has also added a fresh dimension to the treatment of chronic suppura...
Zika virus fever: beginning of another Zoonotic dilemma?
In 2016,World Health Organization (WHO) declared a Public Health Emergency due to the recent outbreak of Zika fever in Brazil.Zika virus is a mosquito-borne flavivirus related to dengue virus. Infection can also spread b...