High Incidence of Childhood-Onset IDDM in Kuwait

Aa, Shaltout; Ma, Qabazard; Na, Abdella; Re, LaPorte; M, al Arouj; A, Ben Nekhi; Ma, Moussa; Khawari, al

doi:10.2337/diacare.18.7.923

Cited by 44 publications

(31 citation statements)

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“…Also outside of Europe a recent report from Kuwait indicated a major increase in incidence [17]. In keeping with our results, the recent findings from the Oxford region of England also show a dramatic 11 % increase in Type I diabetes incidence in children aged under 5 years during the period 1985 to 1996 [16].…”

Section: Discussionsupporting

confidence: 91%

Record-high incidence of Type I (insulin-dependent) diabetes mellitus in Finnish children

Tuomilehto¹,

Karvonen²,

Pitkäniemi³

et al. 1999

Diabetologia

134

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Section: Discussionsupporting

confidence: 91%

Record-high incidence of Type I (insulin-dependent) diabetes mellitus in Finnish children

Tuomilehto¹,

Karvonen²,

Pitkäniemi³

et al. 1999

Diabetologia

134

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“…The increase during the 10 years following the study was almost fourfold (15.4 per 100,000) [4] , with further increases from 1992 to 1997 (20.9 per 100,000) [5] . This indicates the role played by changes in environmental factors causing a rapid rise in the prevalence of type 1 diabetes.…”

Section: Discussionmentioning

confidence: 87%

“…In Kuwait, emphasis has been on the study of diabetes occurring in early childhood or in adulthood [3][4][5]10] .…”

Section: Discussionmentioning

confidence: 99%

“…In Kuwait, a type 1 diabetes registry was initiated in 1992, and reported a nearly fourfold increase in the disease incidence rate between 1983 and 88 1997 [3][4][5] . The registry uses the capture-recapture method [4] to assure complete ascertainment of type 1 diabetes cases, and to validate the primary data source, which is active hospital reporting. The secondary data source is reported by paediatricians and physicians from a number of independent diabetic clinics distributed all over the country.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of Type 1 Diabetes among 6- to 18-Year-Old Kuwaiti Children

Moussa

Alsaeid²,

Abdella³

et al. 2005

Med Princ Pract

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Objectives: To determine the prevalence of type 1 diabetes among 6- to 18-year-old Kuwaiti children according to gender, age, and region. Subjects and Methods: Children with type 1 diabetes aged 6–18 years were identified at 182 schools (50 primary, 63 intermediate, and 69 secondary) in Kuwait during the study period October 2000 to September 2002. Schools were randomly selected using the 2000/01 educational districts’ registers as sampling frame proportional to the number of schools in each district. Prevalence rates were adjusted to the 2002 Kuwaiti population. Diagnosis of type 1 diabetes was based on the World Health Organization, and the American Diabetes Association criteria. Results: Prevalence of type 1 diabetes was 269.9 per 100,000 (95% confidence interval, CI 241.6–298.3). There was no significant difference in prevalence between male (247.6, 95% CI 205.2–290.0) and female (285.5, 95% CI 247.5–323.5). Type 1 diabetes was more prevalent in the age group 10–13 years (347.3), and lowest in the age group 6–9 years (182.6) per 100,000; the difference was significant at p < 0.001. The overall age-adjusted prevalence rate was 252.9 (95% CI 234.6–271.2), 229.1 (95% CI 204.6–253.6) in male and 277.4 (95% CI 250.0–304.7) in female children in the 2002 Kuwaiti population. The mean age at onset was 9.2, and 8.1 years in male and female children, respectively (p = 0.018). There was no significant difference in prevalence between regions. Conclusion: Type 1 diabetes is a common chronic disease in Kuwaiti children.

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“…The prevalence of type 2 diabetes has been reported to be approximately 15.0% [7] . The incidence of type 1 diabetes has increased nearly fivefold, from approximately 4.0 to 20.0 per 100,000, within the last two decades [8,9] . Diabetes care is largely provided at the primary care level through several mini-diabetic clinics distributed over five health regions.…”

mentioning

confidence: 99%

Evaluation of the Impact of the Kuwait Diabetes Care Program on the Quality of Diabetes Care

et al. 2008

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Objectives: To evaluate the impact of the Kuwait Diabetes Care Program on the quality of care provided for diabetic patients in the Primary Health Care setting. Materials and Methods: The Kuwait Diabetes Care Program developed, published and disseminated clinical practice guidelines, conducted training courses, standards for diabetes care, and introduced a monitoring and evaluation system. Four audits (September 1999, October 2001, 2002 and 2003) were carried out at five diabetic clinics. September 1999 referred to in this study as first (baseline) audit was prior to the introduction of the clinical practice guidelines. The three other audits were performed to assess adherence with the guidelines in the administrative management of patients’ records and implementation of the standards. Two hundred and fifty patients were involved in the study. Results: The proportion of patients with organized, structured files increased significantly from 60.0 to 100.0% (p < 0.001), and recording of patients’ demographic data increased from 38.6 to 95.6% (p < 0.001). Use of structured visit sheets, proper fixation of the laboratory and prescription sheets had also improved significantly. The prevalence of smoking assessment, fundus examination, and foot examination increased significantly from 2.8 to 27.2% (p < 0.001); 2.4 to 31.6% (p < 0.001); 0.4 to 40.4% (p < 0.001), respectively. The prevalence of measuring urinary microalbumin, serum creatinine and HbA_1c increased significantly from 4.4 to 26.4% (p < 0.001); 16.0 to 78.4% (p < 0.001), and 10.4 to 60.8% (p < 0.001), respectively. The prevalence of measuring serum total cholesterol, triglycerides, HDL-C, and LDL-C levels increased significantly from 16.4 to 80.0% (p < 0.001); 14.4 to 80.0% (p < 0.001); 2.4 to 32.8% (p < 0.001), and 2.4 to 24.0% (p < 0.001), respectively. Conclusion: This audit shows that a national diabetes program was associated with improved processes of diabetes care. Further, support from health authorities, provision of manpower resources, a continuing monitoring and evaluation system, and conduction of structured education programs may lead to further improvements in the quality of diabetes care.

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High Incidence of Childhood-Onset IDDM in Kuwait

Abstract: Kuwait has the highest incidence of IDDM in children in the region, and an apparently increasing incidence has been demonstrated over the last decade.

Cited by 44 publications

References 0 publications

Record-high incidence of Type I (insulin-dependent) diabetes mellitus in Finnish children

Record-high incidence of Type I (insulin-dependent) diabetes mellitus in Finnish children

Prevalence of Type 1 Diabetes among 6- to 18-Year-Old Kuwaiti Children

Evaluation of the Impact of the Kuwait Diabetes Care Program on the Quality of Diabetes Care

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