Type 2 Diabetes in a Nigerian Adolescent:Diagnostic and Management Challenges in a Resource poor Setting

Io, Oluwayemi

doi:10.25141/2572-4355-2017-3.0074

Cited by 3 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…21 Clinicians should be on the lookout for other types of diabetes, especially type 2 DM and different forms of presentation of childhood diabetes for early diagnosis and proper management. 22 One of the patients who presented with acute abdomen was actually scheduled for surgery but when found to have very high random blood glucose preoperatively, the possibility of DM was entertained and she was later confirmed to have type 1 DM. Surgery was cancelled and she is currently doing well on insulin.…”

Section: Discussionmentioning

confidence: 99%

<p>A Ten-Year Review of the Pattern and Outcome of Childhood Diabetes in Two State Teaching Hospitals in South-West Nigeria</p>

Oluwayemi

Oyedeji

Adeniji

et al. 2020

DMSO

View full text Add to dashboard Cite

Background Childhood diabetes mellitus is a poorly researched topic in Nigeria. Its contribution to morbidity and mortality is vague. This study intends to provide additional information to the background data in Nigeria and hopefully proffers strategies to improving the outcome of this disease. Methods This is a retrospective descriptive study of all children managed for childhood diabetes mellitus at the Ekiti State University Teaching Hospital (EKSUTH) and LAUTECH Teaching Hospital (LTH), South West Nigeria, over a 10 year period. Relevant information was obtained from the case notes of all affected children. Data obtained were analysed with SPSS version 20 software. Results A total of 20 children were treated for diabetes mellitus (DM); there were 7 (35.0%) boys and 13 (65.0%) girls giving a M:F ratio of 1.0:1.9. Age range at presentation was 5 to 16 years and the mean age at presentation was 12.7 ± 2.89 years. Diabetic ketoacidosis (DKA) was the most common form of presentation in 13 (65.0%). Most [18 (90.0%)] of the patients had type 1 DM. Type 2 DM and glucocorticoid-induced diabetes mellitus were recorded in a case each, Eighteen (90%)patients had not been previously diagnosed by any form of screening prior to their presentation and admission in the hospital. Seven (35.0%) of the patient's care were affected by parental financial constraints. Five mortalities were recorded and one left against medical advice while the majority [14 (70.4%)] were discharged well and alive. The association between the greater numbers of deaths recorded in children with financial constraints was statistically significant (p < 0.05). Conclusion Type 1 DM remains the most predominant form of diabetes in children and most of the patients presented in DKA. The proportion of deaths in this study is unacceptably high. There is a need to proffer strategies for earlier detection and management of children with diabetes mellitus prior to the onset or development of DKA and there is a need to assist with the funding of the care of children with diabetes mellitus.

show abstract

Section: Discussionmentioning

confidence: 99%

<p>A Ten-Year Review of the Pattern and Outcome of Childhood Diabetes in Two State Teaching Hospitals in South-West Nigeria</p>

Oluwayemi

Oyedeji

Adeniji

et al. 2020

DMSO

View full text Add to dashboard Cite

show abstract

Diabetes mellitus in primary and secondary schools in Africa: an exploratory review

Agofure

Akpojubaro

2020

Alexandria Journal of Medicine

View full text Add to dashboard Cite

Introduction: The prevalence of Diabetes Mellitus (DM) is currently reported to be on the increase in the school environment among teachers and students in Africa. This review highlighted the current state of DM in primary and secondary schools in Africa. Methods: The review assessed critical literature on African Journals Online, Google Scholar search, PubMed, Medline, and Science Direct as well as information available about DM in the Africa continent. Relevant search terms included prevalence of DM in primary schools, the prevalence of DM in secondary schools, prevalence of DM among teachers and students, knowledge of DM among teachers and students, risk factors of DM among teachers and students in Africa. Results: The review highlighted the prevalence of T2DM among teachers, while prediabetes and T1DM were reported among students. Furthermore, only two studies were identified to assessing knowledge of DM among teachers while few studies reported poor knowledge of DM among students. Conclusion: The issue of DM in both primary and secondary schools should be given the needed attention by the concerned stakeholders. This is because of the possible escalation of T1DM and T2DM within the school environment in Africa in the nearest future.

show abstract

Type 2 diabetes mellitus in an obese adolescent girl in Bauchi, northeast Nigeria

et al. 2019

View full text Add to dashboard Cite

The prevalence of type 2 diabetes mellitus (T2DM) among children and adolescents is on the rise and this correlates well with increasing prevalence of obesity and overweight worldwide. T2DM was thought to be a disease of the adults, however this has since changed. High index of suspicion is required especially in obese children with family history of type T2DM. To the best of our literature search, till date, no case was reported from Northeast Nigeria. We hereby report a case of newly diagnosed type 2 DM in a 14-year old obese teenage girl, who presented with polyuria, polydipsia and weight loss. Her father is a T2DM patient. She had acanthosis and multiple ovarian cysts. She underwent acute phase of care with insulin before discharge and has remained euglycaemic and clinically state on oral hypoglycaemic agent.

show abstract

Type 2 Diabetes in a Nigerian Adolescent:Diagnostic and Management Challenges in a Resource poor Setting

Cited by 3 publications

References 0 publications

<p>A Ten-Year Review of the Pattern and Outcome of Childhood Diabetes in Two State Teaching Hospitals in South-West Nigeria</p>

<p>A Ten-Year Review of the Pattern and Outcome of Childhood Diabetes in Two State Teaching Hospitals in South-West Nigeria</p>

Diabetes mellitus in primary and secondary schools in Africa: an exploratory review

Type 2 diabetes mellitus in an obese adolescent girl in Bauchi, northeast Nigeria

Contact Info

Product

Resources

About