Childhood diabetes mellitus in a rural tertiary hospital in North-West Nigeria

Idris, Umma

doi:10.4103/cjhr.cjhr_61_17

Cited by 4 publications

(13 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[23,24] However, our reported prevalence was lower than the rates, which ranges between 1.4/1000 to 10.1/1000, recorded in most other Nigerian studies. [5,6,[10][11][12][13] This may be adduced to the high patronage for informal healthcare services among the inhabitants within the studied region [25] Furthermore, the entire nine (9) PDM cases were all of type 1 DM variant consistent with other reports within the studied region. [5][6][7][8][9][10][11][12][13] Most of the PDM cases were females with is in tandem with most recent Nigerian reports and those documented in the western populations.…”

Section: Discussionsupporting

confidence: 79%

“…[1] In Nigeria, a similar trend of worsening DM epidemiologic indices, especially of the T1DM variant, among the pediatric populations has also been reported from different regions of the country in few published data. [5][6][7][8][9][10][11][12][13] Uyo, the capital city of Akwa Ibom State in the Southern part of Nigeria, has been reported to have one of the highest adult DM prevalence rates in the country. [14,15] However, no published data to date has been documented on DM among the pediatric populations in Uyo, South-south Nigeria.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Retrospective Survey of Pediatric Diabetics at a Tertiary Healthcare Center in Uyo, South-South Nigeria

Ayoade¹,

Amadi²,

Adesina³

et al. 2020

AJP

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 79%

Section: Introductionmentioning

confidence: 99%

Retrospective Survey of Pediatric Diabetics at a Tertiary Healthcare Center in Uyo, South-South Nigeria

Ayoade¹,

Amadi²,

Adesina³

et al. 2020

AJP

View full text Add to dashboard Cite

“…23 However, some other studies have shown higher incidence of pediatric type 1 diabetes in urban areas. 24,25 According to Kuppuswamy modified scale, diabetic population from lower middle socio economic status 29 (69%), middle socio economic status 11(26.2%) and lower socio economic status 2 (4.8%). In contrast to this finding, a study from India showed that majority (66.7%) of patients were from upper lower socio economic status.…”

Section: Discussionmentioning

confidence: 99%

Clinical profile of type 1 diabetes mellitus among children in eastern part of Nepal

Muktan

Tamang²,

Singh

2019

Int J Contemp Pediatr

View full text Add to dashboard Cite

Background: The objective of this study is to determine the clinical profile of Type 1 diabetes mellitus (T1DM) among children.Methods: Descriptive cross sectional study was conducted at B.P. Koirala institute of Health Sciences (BPKIHS), Dharan, Nepal, the eastern part of Nepal. A total of 42 diabetic children of less than 20 years old diagnosed with T1DM were included in the study. Data were collected via semi-structured interviews and medical records of patients attending diabetic clinic at the time of follow up.Results: The mean age at diagnosis of disease was 11.1±4.9 years. Polyuria 33 (78.6%) was found to be the commonest symptom followed by polydipsia 27 (64.3%), weight loss 23 (54.8%) and polyphagia 13 (30.9%). The mean duration of symptoms before diagnosis was 14.3±9.7 days. DKA was present in 25 (59.5%) children at the time of diagnosis. Mean Glycosylated hemoglobin (HbA1c) value was 10.6±2.7. Obesity was observed in 9 (21.4%) children. Nine (21.4%) children had family history of diabetes. In most of the cases, primary caregiver was mother, among them only 24 (57.2%) had formal education. Almost half of the caregivers were using FRIO, an insulin cooling case, for insulin storage.Conclusions: Polyuria was the most common presenting symptom followed by polydipsia, weight loss and polyphagia. Moreover, most of the children had landed up in diabetic keto-acidosis (DKA) at the time of diagnosis. Therefore, community awareness programs should be emphasized among parents and primary health care workers especially in rural areas regarding T1DM for early recognition and prompt treatment.

show abstract

“…The sample size was estimated from the Kish Leslie formula (1965) using previously known proportion of DKA (15% by Idris, et al) [23] At 95% level of confidence and 5% margin of error the minimum sample size estimated were 121 children. Recruitment of participants was conducted at diabetes clinic exclusively conducted on Mondays.…”

Section: Sample Size and Techniquementioning

confidence: 99%

“…It is commonly found at onset but varies considerably among countries [18]. Studies have reported DKA prevalence at presentation to range from 21-88% of patients, with African countries topping the list [7,15,[19][20][21][22][23]. Low awareness of diabetes is the biggest contributor to these high rates [5].…”

Section: Introductionmentioning

confidence: 99%

Clinical Presentation and Factors Associated with Diabetic Ketoacidosis at the Onset of Type-1 Diabetes Mellitus in Children and Adolescent at Muhimbili National Hospital, Tanzania: A Cross Section Study

Honesta¹,

Edna²,

Benjamin³

et al. 2020

Int J Diabetes Clin Res

View full text Add to dashboard Cite

Background: The incidence and clinical presentation of Type 1 diabetes mellitus (T1DM) varies markedly among countries with a worldwide trend of affected children under-5 years of age. The classical triad of polydipsia, polyuria and weight loss is the most common presentation. Similarly, the frequency of Diabetic Ketoacidosis (DKA) at the onset of T1DM is persistently high in Africa affecting more than two thirds of diabetic children. Objective: To describe the clinical presentation of type 1 diabetes mellitus and factors associated with DKA at presentation among children aged 6 months to 19 years at Muhimbili National Hospital (MNH) in Dar es Salaam, Tanzania. Methods: A hospital based descriptive cross-sectional study was conducted among 134 children and adolescents with T1DM at MNH diabetes clinic. Descriptive statistics such as proportions, means (SD) and median (range) were calculated. Proportions were compared by Chi-square and Fisher's exact tests. Group means for normally distributed variables were compared by Student's t-test whereas non-normal group medians were compared by non-parametric tests (Mann-Whitney-U and Kruskal-Wallis). Regression analyses were done to identify and quantify true predictors of DKA at presentation. Results: Nearly half (46%) of the study participants were diagnosed with DM at the age range of 5 to 10 years and almost a quarter (23%) at the age range of 11-14 years. Most of them presented with classical symptoms of Diabetes i.e. polyuria (95%), polydipsia (93%) and weight loss (79%). Almost 4 out of 10 presented with DKA at the onset of T1DM. Age below 5 years and delayed diagnosis were the factors significantly associated with DKA at onset. Family history of DM and high education level of caretakers were found to be protective factors against DKA at diagnosis of T1DM. Mean duration of symptoms before diagnosis was 3 weeks. However, children who were diagnosed at the age between 11 to 14 years were found to have a relatively longer duration of symptoms. Conclusion: The overall proportion of children diagnosed with DKA at the onset of T1DM was lower compared to previous study in the same hospital. Age below 5 years, delayed diagnosis and low level of education of guardian were found to be significantly associated with DKA in children with newly diagnosed T1DM.

show abstract

Childhood diabetes mellitus in a rural tertiary hospital in North-West Nigeria

Cited by 4 publications

References 1 publication

Retrospective Survey of Pediatric Diabetics at a Tertiary Healthcare Center in Uyo, South-South Nigeria

Retrospective Survey of Pediatric Diabetics at a Tertiary Healthcare Center in Uyo, South-South Nigeria

Clinical profile of type 1 diabetes mellitus among children in eastern part of Nepal

Clinical Presentation and Factors Associated with Diabetic Ketoacidosis at the Onset of Type-1 Diabetes Mellitus in Children and Adolescent at Muhimbili National Hospital, Tanzania: A Cross Section Study

Contact Info

Product

Resources

About