Visits at the primary clinic do not reduce ketoacidosis rates at presentation in type 1 diabetes mellitus.
diabetic ketoacidosis
medical encounters
primary health care
type 1 diabetes mellitus
Journal
Acta paediatrica (Oslo, Norway : 1992)
ISSN: 1651-2227
Titre abrégé: Acta Paediatr
Pays: Norway
ID NLM: 9205968
Informations de publication
Date de publication:
03 2021
03 2021
Historique:
received:
23
04
2020
revised:
06
08
2020
accepted:
17
08
2020
pubmed:
21
8
2020
medline:
15
5
2021
entrez:
21
8
2020
Statut:
ppublish
Résumé
The rate of diabetic ketoacidosis at time of diagnosis of type 1 diabetes remains high. We examined whether visits to a primary care clinic up to a month prior to diagnosis of new onset diabetes affected ketoacidosis rates. Retrospective chart review of children who were diagnosed with type 1 diabetes from January 1, 2010, to December 31, 2014. Data collection included demographics, age at diagnosis, number of visits to the primary care clinic during the month prior the diagnosis, relevance to diabetes and outcome of those visits and the presence of ketoacidosis at diagnosis. We examined the relationship between the rate of ketoacidosis at diagnosis and the number of visits in the clinic, and to the demographic characteristics. Of 159 patients, 115 visited their clinic in the month prior to diagnosis of type 1 diabetes. The rate of ketoacidosis at diagnosis was similar between those who visited the clinic and those who did not (37.4% compared to 38.6%). There was no difference in ketoacidosis rates between the different ethnic and socio-economic groups. Medical encounters in the month prior to diagnosis of type 1 diabetes did not reduce ketoacidosis rates in children.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
995-1000Informations de copyright
©2020 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.
Références
Ji W, Allgrove J, Me C, et al. Pediatric Diabetes ISPAD Clinical Practice Consensus Guidelines 2014 Compendium Diabetic ketoacidosis and hyperglycemic hyperosmolar state. Pediatr Diabetes 2014;15:154-179.
Dunger DB, Sperling MA, Acerini CL, et al. European Society for Paediatric Endocrinology/Lawson Wilkins Pediatric Endocrine Society consensus statement on diabetic ketoacidosis in children and adolescents. Pediatrics. 2004;113(2):e133-e140.
Duca LM, Wang B, Rewers M, Rewers A. Diabetic ketoacidosis at diagnosis of type 1 diabetes predicts poor long-term glycemic control. Diabetes Care. 2017;40(9):1249-1255.
Fernandez Castaסer M, Montaסa E, Camps I, et al. Ketoacidosis at diagnosis is predictive of lower residual beta-cell function and poor metabolic control in type 1 diabetes. Diabetes Metab. 1996;22(5):349-355.
Usher-Smith JA, Thompson M, Ercole A, Walter FM. Variation between countries in the frequency of diabetic ketoacidosis at first presentation of type 1 diabetes in children: a systematic review. Diabetologia. 2012;55(11):2878-2894.
Hilmi A, Pasternak Y, Friger M, Loewenthal N, Haim A, Hershkovitz E. Ethnic differences in glycemic control and diabetic ketoacidosis rate among children with diabetes mellitus type 1 in the Negev area. Isr Med Assoc J. 2013;15(6):267-270.
Usher-smith JA, Thompson MJ, Sharp SJ, Walter FM. Factors associated with the presence of diabetic ketoacidosis at diagnosis of diabetes in children and young adults: a systematic review. BMJ. 2011;343:d4092.
Vanelli M, Scarabello C, Fainardi V. Available tools for primary ketoacidosis prevention at diabetes diagnosis in children and adolescents “The Parma campaign”. Acta Biomed. 2008;79(1):73-78.
Vanelli M, Chiari G, Ghizzoni L, Costi G, Giacalone T, Chiarelli F. Effectiveness of a prevention program for diabetic ketoacidosis in children. Diabetes Care. 1999;22(1):7-9.
Vanelli M, Chiari G, Lacava S, Iovane B. Campaign for diabetic ketoacidosis prevention still effective 8 years later. Diabetes Care. 2007;30(4):e12.
King BR, Howard NJ, Verge CF, et al. A diabetes awareness campaign prevents diabetic ketoacidosis in children at their initial presentation with type 1 diabetes. Pediatr Diabetes. 2012;13(8):647-651.
Lansdown AJ, Barton J, Warner J, et al. Prevalence of ketoacidosis at diagnosis of childhood onset type 1 diabetes in Wales from 1991 to 2009 and effect of a publicity campaign. Diabet Med. 2012;29(12):1506-1509.
Bui H, To T, Stein R, Fung K, Daneman D. Is diabetic ketoacidosis at disease onset a result of missed diagnosis? J Pediatr. 2010;156(3):472-477.