Starting Insulin Therapy in Children With Newly Diagnosed Diabetes

Schneider, Albert J.

doi:10.1001/archpedi.1983.02140340062017

Cited by 28 publications

(11 citation statements)

References 1 publication

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“…Nonetheless, we think that completeness compares favorably with ascertainment rates reported from other registries not based on national insurance schemes (3,4), and was higher than unvalidated voluntary registries (13). Our primary reason for establishing a physician-based reporting network was because IDDM is increasingly treated as an outpatient condition (14)(15)(16)(17)(18)(19). In Colorado, 80 of 738 subjects (10.8%) with IDDM reported no hospital ization at onset.…”

Section: Discussionmentioning

confidence: 99%

Colorado IDDM Registry: Incidence and Validation of IDDM in Children Aged 0–17 Yr

Cruickshanks²,

Cook³

et al. 1990

Diabetes Care

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The purpose of this study was to determine the incidence of insulin-dependent diabetes mellitus (IDDM) among children aged 0-17 yr for age, sex, season, and urban and rural residence of onset in Colorado. Retrospective registration of new-onset cases was conducted from 1978 to 1980, and then prospective registration continued through 1983 with the use of physician reporting with hospital validation. The annual incidence of IDDM was 15.2/100,000 per year (95% confidence interval [CI] 14.1, 16.3), with little difference between the sexes. The highest incidence was in the 10- to 14-yr age-group for both sexes. There was a seasonal peak of winter onset in those aged 10-17 yr, with similar patterns between sex and ethnic groups. No temporal trend over the 6 yr was seen, although an excess of cases was seen for 15- to 17-yr-old boys in 1980-1982. Rates were similar for urban and rural areas of the state. Case ascertainment was estimated to be 93.2% complete (95% CI 91.5, 95.5). Incidence was similar in Colorado to other populations in the United States at similar latitudes. These data serve as a baseline for evaluation of changes in incidence over time, by region, and for the identification of possible outbreaks.

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Section: Discussionmentioning

confidence: 99%

Colorado IDDM Registry: Incidence and Validation of IDDM in Children Aged 0–17 Yr

Cruickshanks²,

Cook³

et al. 1990

Diabetes Care

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show abstract

“…33 Indeed, several centres, particularly in America and Canada, have eliminated unnecessary hospital admissions with no adverse effects. 6 …”

Section: Evidence Based Practicementioning

confidence: 99%

“…If the child is mildly to moderately symptomatic and clinically well, subcutaneous insulin and oral diet and fluids may be begun from diagnosis, 5 and stabilisation at diagnosis does not necessarily require hospital admission. [6][7][8][9][10][11] In this paper, we review the evidence about hospital versus home based treatment at diagnosis for children with type 1 diabetes. We briefly describe the Cardiff approach to home management and discuss the benefits and disadvantages of different approaches to initial management.…”

mentioning

confidence: 99%

Management of newly diagnosed diabetes: home or hospital?

Lowes

Gregory²

2004

Archives of Disease in Childhood

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“…This issue is particularly important given the current trend toward outpatient stabilization programs for individuals newly diagnosed with type 1 diabetes (8). Ambulatory programs have reported initiation of insulin in the lower ranges of typical recommendations, ie, 0.3 units/kg/day to 0.5 units/kg/day (9,10). Conceivably, this course of action is related to concerns about hypoglycemic events occurring at home.…”

mentioning

confidence: 99%