Glycemic Control in Kenyan Children and Adolescents with Type 1 Diabetes Mellitus
Joint Authors
Ngwiri, Thomas
Were, Fred
Ngugi, Paul
Iughetti, Lorenzo
Predieri, Barbara
Source
International Journal of Endocrinology
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-10-01
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
Type 1 diabetes mellitus (T1DM) is the most common endocrine disorder in children and adolescents worldwide.
While data about prevalence, treatment, and complications are recorded in many countries, few data exist for Sub-Saharan Africa.
The aim of this study was to determine the degree of control in patients with T1DM aged 1–19 years over a 6-month period in 3 outpatient Kenyan clinics.
It also sought to determine how control was influenced by parameters of patient and treatment.
Methods.
Eighty-two children and adolescents with T1DM were included in the study.
Clinical history regarding duration of illness, type and dose of insulin, and recent symptoms of hypoglycemia/hyperglycemia were recorded.
Glycaemia, HbA1c, and ketonuria were tested.
HbA1c of 8.0% and below was defined as the cut-off for acceptable control.
Results.
The median HbA1c for the study population was 11.1% (range: 6.3–18.8).
Overall, only 28% of patients had reasonable glycemic control as defined in this study.
72% therefore had poor control.
It was also found that age above 12 years was significantly associated with poor control.
Conclusions.
African children and with T1DM are poorly controlled particularly in adolescents.
Our data strongly support the necessity of Kenya children to receive more aggressive management and follow-up.
American Psychological Association (APA)
Ngwiri, Thomas& Were, Fred& Predieri, Barbara& Ngugi, Paul& Iughetti, Lorenzo. 2015. Glycemic Control in Kenyan Children and Adolescents with Type 1 Diabetes Mellitus. International Journal of Endocrinology،Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1065807
Modern Language Association (MLA)
Ngwiri, Thomas…[et al.]. Glycemic Control in Kenyan Children and Adolescents with Type 1 Diabetes Mellitus. International Journal of Endocrinology No. 2015 (2015), pp.1-7.
https://search.emarefa.net/detail/BIM-1065807
American Medical Association (AMA)
Ngwiri, Thomas& Were, Fred& Predieri, Barbara& Ngugi, Paul& Iughetti, Lorenzo. Glycemic Control in Kenyan Children and Adolescents with Type 1 Diabetes Mellitus. International Journal of Endocrinology. 2015. Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1065807
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1065807