Functional and Psychosocial Ramifications of Type 1 Diabetes Mellitus in Pediatric Endocrinology

Author(s):  
Nicole L. Pilek ◽  
Harold S. Starkman
2009 ◽  
Vol 12 (3) ◽  
pp. 23-27
Author(s):  
Tatiana Yur'evna Shiryaeva ◽  
Ekaterina Andreevna Andrianova ◽  
Yury Ivanovich Suntsov

Aim. To study dynamics of main epidemiological characteristics (incidence and prevalence) of type 1 diabetes mellitus (DM) in children in theRussian Federation (RF) and its Federal districts (FD) in 2001-2007. Materials and methods. Analysis of main epidemiological characteristics (incidence, prevalence, mortality) of type 1 DM in children of RF has beenunderway in the Institute of Pediatric Endocrinology, ERC, since 2001 based on results of questionnaire studies. The questionnaires regularly distributedamong Health Committees of RF subjects (primary sources of information) are designed to collect data on the size, age and sex compositionof childrens populations affected by DM1 and the number of newly diagnosed cases as per the end of each reporting year. The data obtainedare compared with those stored in the State Diabetes Registry (secondary source of information). Results. Major trends in the dynamics of epidemiological characteristics of type 1 DM in children of RF are similar to those worldwide. Mean annualgrowth rate is 2,8%. The incidence of DM1 remains highest in the North-West FD (15,66 per 100 000 children) followed by Central andVolga FDs (12,82 and 10,6 respectively) where its is close to the average value FDr RF (11,01). The incidence of DM1 continues to decrease in theSouthern FD (6,61% per year) and undergoes up-and-down fluctuations in Ural and Siberian FDs. It steadily grows in the Far East FD. TheNorth-South gradient of DM1 morbidity across the territory of RF has persisted during the study period. Conclusion. Monitoring main epidemiological characteristics of type 1 diabetes mellitus in children of RF is an integral component of the organizationof medical and preventive aid to these patients that creates a basis for predicting morbidity, planning measures for its control, and improvinggeneral quality of healthcare provided to diabetic children


Author(s):  
I. L. Alimova

A group of experts, leading Russian specialists in the field of pediatric endocrinology prepared updated clinical guidelines for the diagnosis and treatment of type 1 diabetes mellitus in children. The article presents the main provisions of clinical guidelines for diagnosis and differential diagnosis, treatment, organization of medical care, specific and acute complications in children with type 1 diabetes mellitus. These clinical recommendations and concerted actions in practical work will allow pediatricians and pediatric endocrinologists to improve the diagnosis, treatment and quality of medical care for children with type 1 diabetes.


2010 ◽  
Vol 13 (4) ◽  
pp. 6-11
Author(s):  
Tatiana Yur'evna Shiryaeva ◽  
Ekaterina Andreevna Andrianova ◽  
Yury Ivanovich Suntsov

Aim. To assess main epidemiological characteristics (prevalence, morbidity, mortality) of type 1 diabetes mellitus (DM1) in children of the RussianFederation and its federal okrugs (districts) in 2001-2008. Materials and methods. The research was based on questionnaries designed in the Pediatric Endocrinology Institute of Endocrinology Research Center. Results. There were18,028 children aged 0-14 years with DM1 as per 01.01.2009. As many as 2,789 new caseswere diagnosed in 2008. The meanprevalence as per 01.01.2009 was estimated at 72.28 (24.88-90.63), morbidity 11.25 (3.39-14.06), mortality 0.07 (0-0.26) per 100,000 childrenspopulation.The absolute increment in morbidity from 2001 to 2008 was 1.69, growth rate 117.7%, accession rate 17.7%, mean annual rate for the8-year study period 2.2%. Morbidity is predicted to reach 13.2 per 100,000 in the next 5 years (2013). The highest morbidity recorded in the Uralokrug (14.73/100,000) exceeded that in the North-West okrug (13.63/100,000 as per 01.01.2009) where it was maximum in the preceding years.Morbidity in the Privollzhsky, Far East and Siberian okrugs remained unaltered (11.06, 7.3, 10.6 respectively), decreased in the Southern okrug(8.0) and increased in the Central okrug from 13.3 in 2007 to 14.3/100,000 in 2008. The overall prevalence of DM1 among children in Russia increasedfrom 54.6 to 72.28 per 100,000. Conclusion. The main tendentious in DM1 epidemiology in children in RF are comparable with those worldwide.


2021 ◽  
Vol 23 (1) ◽  
pp. 72-76
Author(s):  
I. O. Vikhrova ◽  
A. M. Loboda

Aim. The aim of the current study was to investigate urinary adiponectin, VCAM-1, and RBP 4 levels in children depending on the diabetes duration. Materials and methods. The study involved 55 subjects, including 47 children with type 1 diabetes mellitus and eight children without diabetes and kidney disease history. Participants with diabetes were stratified into three groups, depending on the diabetes duration: <1 year (11 people), 1–5 years (24 people) and >5 years (12 people). According to the Order of the Ministry of Health of Ukraine, dated April 27, 2006, No. 254 on providing medical care to children in the specialty “Pediatric Endocrinology”, we examined the children and diagnosed type 1 diabetes mellitus. Chemiluminescence signals of adiponectin, VCAM-1, and RBP4 in urine were analyzed with Bio-Rad ChemiDoc Touch using a Proteome Profiler Human Kidney Biomarker Antibody Array (R&D Systems, Minneapolis, USA). We used descriptive statistics and nonparametric methods (contingency tables and Spearman’s rank correlation coefficient (r)) for the statistical analysis of study materials. Statistically significant differences were indicated by P values <0.05. Results. Urinary adiponectin, VCAM-1, and RBP 4 levels statistically increased within the first year after diagnosing type 1 diabetes in children. Adiponectin was strongly correlated with VCAM-1 (r = 0.636, P = 0.026), and RBP 4 (r = 0.650, P = 0.022). Urinary adiponectin levels showed a statistically significant correlation with GFR (r = 0.007). Conclusions. Serum creatinine and GFR are ineffective as diagnostic indicators of kidney damage in children with diabetes mellitus at the incipient stages. Adiponectin in children’s urine can be used as a non-invasive kidney damage marker in the early years of type 1 diabetes. Adiponectin, VCAM-1, and RBP 4 measurements would allow an early prediction and evaluation of both tubular and glomerular kidney damage in children with diabetes.


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