Reduced iron parameters and cognitive processes in children and adolescents with DM1 compared to those with standard parameters

2016 ◽  
Vol 64 (3) ◽  
pp. 782-785 ◽  
Author(s):  
Ewa Mojs ◽  
Maia Stanisławska–Kubiak ◽  
Rafał W Wójciak ◽  
Julita Wojciechowska ◽  
Sabina Przewoźniak
Keyword(s):  
Children And Adolescents ◽  
Glycosylated Hemoglobin ◽  
Blood Parameters ◽  
Diabetes Type ◽  
Mean Corpuscular Hemoglobin ◽  
Diabetes Type 1 ◽  
Flame Atomic Absorption ◽  
Patients With Diabetes ◽  
Iron Parameters

Anemia in patients with diabetes is not scarce and may contribute to the complications of the disease. The risk of iron deficiency parameters in child sufferers of diabetes type 1, observed in studies, can lead to cognitive impairment. The aim of the study was to determine whether children and adolescents with diabetes type 1, in whom reduced ferric parameters are observed in control tests, may also show reduced cognitive performance. The study included 100 children with diabetes type 1 at the age of 6–17 years. During control tests, patients’ morphological blood parameters were measured: red blood cells (RBC), hemoglobin, glycosylated hemoglobin, hematocrit, RBC volume, the molar mass of hemoglobin in RBC (MCH), mean corpuscular hemoglobin in RBC and iron concentrations in serum using flame atomic absorption spectroscopy and the Wechsler Intelligence Scale for Children (WISC-R). Results in the group of children with a diabetes type 1 significantly lower concentration of three ferric parameters affect the non-verbal intelligence measured with WISC-R. The prevalence of reduced ferric parameters justifies further screening in all children with diabetes type 1 and taking up appropriate preventive measures to reduce the risk of their occurrence.

EVALUATION OF ADIPONECTIN LEVEL IN CHILDREN AND ADOLESCENTS WITH DIABETES TYPE 1

2008 ◽  
Vol 9 (1) ◽  
pp. 238 ◽  
Author(s):  
J. Peczynska ◽  
B. Glowinska-Olszewska ◽  
M. Urban ◽  
B. Florys
Keyword(s):  
Children And Adolescents ◽  
Adiponectin Level ◽  
Diabetes Type ◽  
Diabetes Type 1

Psychological aspects in rehabilitation of children and adolescents with diabetes type 1

2000 ◽  
Vol 50 ◽  
pp. 413
Author(s):  
T.V Tolstaya ◽  
V.I Ivanova ◽  
T.V Mohort ◽  
V.A Podolskaya ◽  
N.G Rys ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Diabetes Type ◽  
Psychological Aspects ◽  
Diabetes Type 1

scholarly journals Analysis of the quality of life of patients with type 1 diabetes mellitus in real clinical practice who received insulin degludec

2021 ◽  
pp. 96-103
Author(s):  
L. A. Suplotova ◽  
A. S. Sudnitsyna ◽  
N. V. Romanova
Keyword(s):  
Quality Of Life ◽  
Type 1 Diabetes ◽  
Diabetes Type ◽  
Insulin Degludec ◽  
Diabetes Type 1 ◽  
Glucose Levels ◽  
Patients With Diabetes ◽  
Long Acting

Introduction. Long-term and high-quality glycemic control prevents the development of vascular complications of diabetes type 1 and improves the disease prognosis, significantly increasing life expectancy. A decrease in the quality of life (QOL) of patients with diabetes type 1 is associated with the disease complications development and carbohydrate metabolism status. In connection with the proven advantages of using indicators of time spent in glycemic ranges (TIR, TAR, TBR), the study of their associations with QOL in patients with type 1 diabetes when switching from long-acting analog insulins to insulin degludec is of particular interest.Aims. To assess the quality of life with diabetes type 1 when switching from long-acting analogs to insulin degludec in real world clinical practice.Materials and methods. The study was designed as a prospective, single-center, uncontrolled study. The recruitment of patients with diabetes type 1 who did not achieve the target values of control of carbohydrate metabolism control, who were on therapy with long-acting and ultrashort-acting analog insulin therapy, was carried out in accordance with the matching criteria. The calculation of TIR and TBR was carried out employing the data from professional continuous monitoring of glucose levels and selfmonitoring of blood glucose levels. The SF-36 Health Status Survey was used to assess QoL.Results. The study included 26 patients who met the inclusion criteria and did not have the exclusion criteria. The relationships between TIR, TBR and QoL parameters during insulin degludec therapy were revealed - with vitality, bodily pain, mental health, which demonstrates an increase in QoL mainly due to the mental component of health.Conclusions. Switching patients with type 1 diabetes from long-acting analog insulins to ultra-long-acting analog insulin on an outpatient basis provides an improvement in glycemic control due to HbA1c and TIR, TBR, and also increases QOL satisfaction, mainly due to the mental component of health.

Significant effect of group education in patients with diabetes type 1

HORMONES ◽  
2018 ◽  
Vol 17 (3) ◽  
pp. 397-403
Author(s):  
Zadalla Mouslech ◽  
Maria Somali ◽  
Livadas Sarantis ◽  
Daramilas Christos ◽  
Chatzi Alexandra ◽  
...  
Keyword(s):  
Diabetes Type ◽  
Diabetes Type 1 ◽  
Group Education ◽  
Patients With Diabetes

scholarly journals Homocysteinemia as a risk factor of diabetic nephropathy in children and adolescents

2008 ◽  
Vol 14 (4) ◽  
pp. 320-323
Author(s):  
Zh. V. Shutskaya
Keyword(s):  
Risk Factor ◽  
Diabetic Nephropathy ◽  
Children And Adolescents ◽  
Independent Risk Factor ◽  
Diabetes Type ◽  
Diabetes Type 1

This article summarizes data on homocysteinemia and its influence on vascular pathologic changes in patients with different diseases including diabetes type 1 and type 2. The role of homocystein as an independent risk factor for diabetic nephropathy in children and adolescents is discussed. The problem of homocysteinemia treatment is reviewed.

scholarly journals Midterm Fate of the Contralateral Foot in Charcot Arthropathy

2020 ◽  
Vol 41 (10) ◽  
pp. 1181-1189
Author(s):  
Felix W. A. Waibel ◽  
Martin C. Berli ◽  
Viviane Gratwohl ◽  
Kati Sairanen ◽  
Dominik Kaiser ◽  
...  
Keyword(s):  
Diabetes Type 2 ◽  
Female Gender ◽  
Major Amputation ◽  
Diabetes Type ◽  
Diabetes Type 1 ◽  
Charcot Arthropathy ◽  
Level Of Evidence ◽  
Patients With Diabetes

Background: The contralateral foot in Charcot arthropathy or neuroarthropathy (CN) is subject to increased plantar pressure. To date, the clinical consequences of this pressure elevation are yet to be determined. The aim of this study was to evaluate ulcer and amputation rates of the contralateral foot in CN. Methods: We abstracted the medical records of 130 consecutive subjects with unilateral CN. Rates of contralateral CN development and recurrence, contralateral ulcer development, and contralateral amputations were recorded. Statistical analysis was performed to identify possible risk factors for contralateral CN and ulcer development, and contralateral amputation. Mean follow-up was 6.2 (SD 4) years. Results: After a mean of 2.5 years, 19.2% patients developed contralateral CN. Female gender was associated with contralateral CN development (odds ratio 3.13, 95% confidence interval 1.27, 7.7). Overall, 46.2% patients developed a contralateral ulcer. Among the patients who developed contralateral CN, 60% developed an ulcer. Sanders type 2 at the index foot (midfoot CN) was significantly associated with contralateral ulcer development. Ulcer-free survival (UFS) differed significantly between patients with diabetes type 1 (median UFS 5131 days) and patients with diabetes type 2 (median UFS 2158 days). A total of 25 amputations had to be performed in 22 (16.9%) patients. Three of those 22 patients (2.3%) needed major amputation. Conclusion: Almost 20% of patients developed contralateral CN. Nearly half of people with CN developed a contralateral foot ulceration. Patients with type 2 diabetes had significantly shorter UFS than patients with diabetes type 1. Every sixth patient needed an amputation, with the majority being minor amputations. The contralateral foot should be monitored closely and included in the treatment in patients with CN. Level of Evidence: Level IV, retrospective study.

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