Premium
Clinical picture of childhood type 1 diabetes mellitus in the Eastern Province of Saudi Arabia
Author(s) -
Kulaylat Naji A,
Narchi Hassib
Publication year - 2001
Publication title -
pediatric diabetes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.678
H-Index - 75
eISSN - 1399-5448
pISSN - 1399-543X
DOI - 10.1111/j.1442-200x.2006.02242.x-i1
Subject(s) - medicine , diabetic ketoacidosis , pediatrics , diabetes mellitus , ketoacidosis , type 1 diabetes , medical record , presentation (obstetrics) , depression (economics) , cerebral edema , type 2 diabetes , surgery , endocrinology , economics , macroeconomics
Aim: Study of the clinical presentation and laboratory data of type 1 diabetes in the Eastern Province of Saudi Arabia. Methods: The medical records of all affected children during the period 1986–1997 were reviewed for the analysis of clinical and laboratory data. Results: Type 1 diabetes was diagnosed in 46 children, 27 girls and 19 boys, with a mean age at diagnosis of 9.0 yr. The mean duration of symptoms prior to diagnosis was 12.5 d. Depressed consciousness occurred in 10.8% of the patients (none was comatose) and ketoacidosis in 77%. There was no episode of increased intracranial pressure during treatment, nor was there any death. There was a correlation between the central nervous system depression and the degree of hyperglycemia, and also with the severity of acidosis. Conclusions: Although more than three quarters of patients with type 1 diabetes had ketoacidosis on presentation, none was comatose or developed clinical cerebral edema during treatment. The presentation of type 1 diabetes in children from Saudi Arabia seems to differ from reports from developed countries.