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- Title
Metabolic Control in Children and Adolescents with Diabetes: Experience of Two Italian Regional Centers.
- Authors
Vanelli, M.; Chiarelli, F.; Chiari, G.; Tumini, S.; Costi, G.; di Ricco, L.; Zanasi, P.; Catino, M.; Capuano, C.; Porcelli, C.; Adinolfi, B.; Cieri, F.; Giacalone, T.; Casani, A.
- Abstract
A survey on glycemic control in 201 diabetic children and adolescents, aged 0-18 years, was performed in two Italian Centers for Childhood Diabetes (Chieti and Parma). Mean HbAu was 7.8±1.4 (range 4.8-13.3%; median 7.6%). With progression of diabetes duration, deterioration of glycemic control was observed (r=0.20; p< 0.002), more evident in girls than in boys, with peaks at 14 (8.9±2.0 vs 6.9±1.7%; p<0.05) and 16 years (9.5±1.4% vs 8.1±1.1; p<0.02). No differences were found in BMI values in boys or girls, or for insulin doses which were increased significantly in both sexes according to age (r= 0.33, p<0.04). The number of insulin injections did not influence glycemic control. Only one severe hypoglycemic episode was reported during the period of observation. This study demonstrates that modern management, continuous education and patient and family empowerment are effective in attaining excellent glycemic control without increasing the risk of hypoglycemia.
- Publication
Journal of Pediatric Endocrinology & Metabolism, 1999, Vol 12, Issue 3, p403
- ISSN
0334-018X
- Publication type
Article
- DOI
10.1515/jpem.1999.12.3.403