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- Title
Delayed recognition of new onset type 1 diabetes mellitus complicated with ketoacidosis and associated with autoimmune thyroiditis-a case report.
- Authors
Miron, Irina-Floarea; Revnic, Radu; Sorina Pop, Rodica; Cojan Minzat, Bianca; Florea, Habil Mira
- Abstract
Delayed recognition and referral of the new onset type 1 diabetes mellitus (T1 DM) can lead to diabetic ketoacidosis (DKA) with potentially harmful consequences. Diabetic ketoacidosis (DKA) represents a severe acute complication frequently occurring before the first diagnosis of T1DM. The rates of DKA of new-onset T1DM in children and adolescents in different countries available over the last decade varied from 14.7% (Denmark) to 79.8% (Saudi Arabia). DKA rates are still high, but a decline can also be recognized. A recent prospective observational study of diabetic ketoacidosis at onset of Type 1 diabetes in 31 countries rated Romania among those with highest frequencies of DKA at T1 DM diagnosis. We present the unrecognized insidious onset of T1DM precipitated by acute respiratory virus, complicated with diabetic ketoacidosis (DKA), and the association of an autoimmune disease since the onset of the disease. Conclusion. This case report draws attention to the need for early recognition of this serious pathology of children by family doctors, which should strengthen parents' education for taking children's balance tests and awareness of the first signs of illness. There is a need for increased awareness of the symptoms of diabetes among parents and primary care professionals, given the delayed presentation and delayed referral by general practitioners for future interventions to reduce this excess morbidity and mortality.
- Subjects
TYPE 1 diabetes; TREATMENT of diabetes; DIAGNOSIS of diabetes; DIABETIC acidosis; KETOACIDOSIS
- Publication
Romanian Journal of Family Medicine / Revista Română de Medicina Familiei, 2021, Vol 4, Issue 3, p26
- ISSN
2601-4874
- Publication type
Article