Abstract
Introduction: Diabetes mellitus Type 1 is a common chronic disease that affects children and periodic out patient follow up minimizes the long term complications. This study analysed the follow up protocol for children with type 1 diabetes mellitus in the paediatric out patients, at a District General Hospital.
Method: Retrospective study, between 2008-2009, was conducted of all diabetic children who attended the out patient. The inclusion criteria required the children to be diabetic for at least a year. The data was obtained from the clinical notes and laboratory reports. Details with respect to age, sex, yearly thyroid function tests, HbA1c reports per year and three yearly coeliac screen documented were recorded. For children above 12 years, documented yearly BP record, annual microalbuminuria check and annual retinopathy screening were recorded, as per NICE guidelines, UK.
Result: Of the twenty children, 10 were over 12 years and the remaining 10 above 12 years age. The male to female ratio was 1:1. Two HbA1C reports/year were documented for 13 /20 children (65%), annual thyroid function tests and the three yearly coeliac screen were documented for 18/20 (90%)respectively. Of the children above 12 years, 10/10 (100%) had annual BP records, 6/10 (60%) had annual checks for microalbuminuria but only 2/10 (20%) had documented retinopathy screen.
Conclusions: The study indicates a satisfactory level of follow up to ascertain possible long term complications and target organ involvement. The retinopathy screening for children above 12 years, indicated a low level of documentation and this needs more attention.
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Ganjoo, N., Gupta, N. & Mukherji, S. 1090 Type 1 Diabetes Mellitus in Children: An Analytic Follow Up Study at a District Level General Hospital, Uk. Pediatr Res 68 (Suppl 1), 541 (2010). https://doi.org/10.1203/00006450-201011001-01090
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DOI: https://doi.org/10.1203/00006450-201011001-01090