内分泌学とメタボリックシンドローム
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概要

The childhood onset diabetes electronic registry (CODeR) in Kuwait: What we learned and what we achieved

Dalia Al-Abdulrazzaq

Introduction: A national registry for diabetes is an effective public health tool for disease prevention and management, especially in countries like Kuwait where there is increasing number of children with type 1 diabetes (T1D). The aim of this study is to report on clinical characteristics of children with T1D registered at the Childhood-Onset Diabetes electronic Registry (CODeR) in Kuwait.
Design and Methods: This is a retrospective review of children with T1D aged 14 years or less registered in CODeR between the periods of 2011-2017.
Results: A total of 864 children aged 14 years or less (410 Males and 454 Females, p=not significant, ns) were newly diagnosed with T1D during the study period. Females were more likely to have an underweight/normal Body mass index (BMI) at diabetes presentation (p=0.001). Furthermore, females had a higher mean HbA1C at diagnosis (11.6 ±2.41, p˂0.0001). Out of the total 864 patients, 287 had presented with Diabetic ketoacidosis (DKA) (35.9%) of which most were mild (133/287, 46.3%). From the year 2011 till 2017, the percentage of children older than 5 years of age presenting with severe DKA has been significantly decreasing (Figure.2, p=0.033).