About this Journal Publication ethics Editorial Board Editorial Council Editorial Office For the Authors Contacts
English

News feeds

Journal in Databases

eLIBRARY.RU - ÍÀÓ×ÍÀß ÝËÅÊÒÐÎÍÍÀß ÁÈÁËÈÎÒÅÊÀ

Google Scholar

Google Scholar

Main arrow Archive of previous Issues arrow ¹5 2011 (21) arrow Complications of diabetes mellitus in children of the Kaluga region
Complications of diabetes mellitus in children of the Kaluga region Print
Thursday, 19 January 2012

D.I. Zelinskaya1, L.V. Shiriayeva2, R.N. Terletskaya1
1
Scientific center of children health of the Russian Academy of Medical Sciences, Moscow
2Municipal pediatric hospital, the town of Kaluga, Kaluga Region

Summary. Aim of the study: to identify the structure and main features of complications of diabetes mellitus in children of the Kaluga Region with the purpose of elaborating certain approaches to epidemiologic prognosis-making and prevention of these complications at certain stages of the disease course for reducing health losses due to this nosology.

Statistical data on morbidity of diabetes mellitus and the resulting disability were included. The registry of diabetes mellitus in the Kaluga Region showed the numbers of children with diabetes mellitus inclusive those with diabetic complications, also the structure of cases of complications, mean age at the set-up of the disease and at the set-up of a complication, duration of the disease before emerging of a complication.

Morbidity of diabetes mellitus in children and resulting disability (70% of registered primary patients) in the Kaluga Region demonstrated a verified growth in 2004-2009. Predominant was the adolescence age group in affected as well as in disabled patients.

These trends corresponded to the situation in the Russian Federation as a whole and to that in the Central Federal District.

Diabetic complications were occurring in 30.9% of primary cases, with sensory neuropathy, diabetic nephropathy and retinopathy constituting for 73.1% of complications. All these complications had begun to develop at early stages after the set-up of the disease. All cases of diabetic coma had been manifestation of diabetes mellitus. Disability in patient children was labeled over as soon as the diagnosis of diabetes mellitus had been established.

Improvement in diagnosis-making should be confined to early diagnosis, expanding to pre-diabetes and latent diabetes. Prompt commitment of diagnosed patient to inpatient observation and elevation of awareness and alert of parents in caring for affected offspring should be strongly recommended. Advanced skills of pediatricians and endocrinologists in identification of lifestyle deviations and installation of corrected lifestyle of limited activity for pediatric patients with diabetes mellitus would be highly appreciable.

Keywords. Pediatric population, Diabetes mellitus, Morbidity, Diabetic complications, Disability, Health losses.

References

  1. Balabolkin M.I., Klebanova Ye.M., Kreminskaya V.M. Kombinirovannaya sakharosnizhayushchaya terapiya i vozmozhnost dostizheniya dlitelnoy kompensatsii uglevodnogo obmena u bolnykh sakharnym diabetom 2 tipa [Combined sugar lowing therapy and possibility to achieve long-term compensation of carbohydrate metabolism in patients with diabetes mellitus of the 2-nd type]. Rossiyskiy meditsinskiy zhurnal 2007;15(6):492-495.
  2. Gnusayev S.F., Dianov O.A., Ivanov D.A. Kardiovaskulyarnyye narusheniya u detey s sakharnym diabetom i puti ikh korrektsii [Cardiovascular disorders in children with diabetes mellitus and methods for their corrections]. Vestnik pediatricheskoy farmakologii i nutritsiologii 2007;(2):1-5.
  3. Dedov I.I., Kurayeva T.L., Peterkova V.A. Insulinoterapiya sakharnogo diabeta 1 tipa u detey i podrostkov. [Insulin therapy of diabetes mellitus of the 1-st type in children and adolescents]. Ìoscow: Endokrinologicheskiy nauchnyy tsentr RAMN; 2003. 101 p.
  4. Dedov I. I., Peterkova V.A. Rukovodstvo po detskoy endokrinologii [Manual for children’s therapy]. Moscow: Universum Pablishing; 2006. 600 p.
  5. Dedov I. I. Sakharnyy diabet - problema XXI veka [Diabetes mellitus is a problem of XXI century]. Vrach 2000;(1):4-5.
  6. Äèàãíîñòèêà, ëå÷åíèå è ïðîôèëàêòèêà äèàáåòè÷åñêèõ îñëîæíåíèé ó äåòåé è ïîäðîñòêîâ [Diagnosis, treatment and prevention of diabetes complications in children and adolescents] /Ïåòåðêîâà Â.À., Ùåðáà÷åâà Ë.Í., ÊóðàåâàÒ.Ë., Ìàêñèìîâà Â.Ï., Ãóáàíîâ Í.Â., Ìèëåíüêàÿ Ò.Ì., Ìèøèíà È.È., Àáäûëäàåâ Á.È., Àíäðèàíîâà Å.À. Ì.: ÝÍÖ PAMÍ. 1997. 45 ñ.
  7. Zdravookhraneniye v Rossii. 2009 [Health care in Russia. 2009]. Statisticheskiy sbornik. Moscow: Rosstat. 2009. 365 p.
  8. . Baranov A.A., Albitskiy V.Yu., Zelinskaya D.I., Terletskaya R.N. Invalidnost detskogo naseleniya Rossii. Moscow: Tsentr razvitiya mezhsektoralnykh programm. 2008. 240 p.
  9. Informatsionnyy byulleten WHO ¹ 312. August. 2011 [Èíòåðíåò] [WHO Information Bulletin ¹312. 2011. August]. [Internet]. [cited 2011 Nov 03]. Available from: http://www.who.int/mediacentre/factsheets/fs312/ru/
  10. Kasatkina E.P. Aktualnyye voprosy detskoy i podrostkovoy endokrinologii [Actual problems of children’s and adolescents’ endocrinology]. Sbornik materialov Respublikanskogo soveshchaniya-seminara glavnykh detskikh endokrinologov subyektov Rossiyskoy Federatsii. Moscow: IndeksPrint; 1999. P. 9-18.
  11. Bolotova N.V., Kompaniyets O. V. Kachestvo zhizni detey s sakharnym diabetom I tipa [Life quality in children with diabetes mellitus] In: Izucheniye kachestva zhizni v pediatrii [Editors A.A. Baranov, V.Yu. Albitskiy, I.V. Vinyarskaya]. Moscow: Soyuz pediatrov Rossii. 2010. P. 145-158.
  12. Konsensus po osnovnym printsipam lecheniya bolnykh insulinzavisimym (1 tipa) sakharnym diabetom detey i podrostkov. [Consensus on basic methods for treating children and adolescents with insulin-dependent diabetes (1-st type)]. Declarations of St.Vincent and of Kos. Copenhagen. 1995. 43 p.
  13. Martynova M.I., Marchenko L.F., Kartelishev A.V., Kuksa V.R., Smirnov V.V., Sapelkina L.V. Oslozhneniya sakharnogo diabeta u detey i podrostkov: sovremennaya kontseptsiya patogeneza, funktsionalnoy diagnostiki i terapii [Diabetes mellitus complications in children and adolescents: the modern conception of pathogenesis, functional diagnosis and therapy]. Pediatriya 2003;(5):90-95.
  14. Kasatkina E.P., Sivous G.I., Ochirova E.A., Sichinava I.G. Profilaktika khronicheskikh oslozhneniy sakharnogo diabeta u detey i podrostkov. [Prevention of chronic complications of diabetes mellitus in children and adolescents]. Sakharnyy diabet 2003;(4):9-12.
  15. Kasatkina E.P., Odud Ye.A., Sichinava I.G., Sivous G.I., Doll S.Ye. Profilaktika pozdnikh oslozhneniy sakharnogo diabeta u detey i podrostkov. Puti optimizatsii dispansernoy sluzhby [Prevention of late complications of diabetes mellitus in children and adolescents. The ways of dispensary service optimization] Problemy endokrinologii 2000;(1):3-7.
  16. Dedov I.I., Kurayeva T.L., Peterkova V.A., Shcherbacheva L.N. Sakharnyy diabet u detey i podrostkov [Diabetes mellitus in children and adolescents]. Ìoscow: Universum Pablishing; 2002. 391 p.

Views: 20220

Be first to comment this article

Write Comment
  • Please keep the topic of messages relevant to the subject of the article.
  • Personal verbal attacks will be deleted.
  • Please don't use comments to plug your web site. Such material will be removed.
  • Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button.
  • Keep in mind that the above process only applies if you simply entered the wrong security code.
Name:
E-mail
Comment:

Code:* Code

Last Updated ( Thursday, 07 November 2013 )
< Prev   Next >
home contact search contact search