![](/images/graphics-bg.png)
Long-term prognosis of type 1 diabetes in relation to the clinical characteristics at the onset of diabetes
Joint Authors
al-Samahi, M. H.
al-Hinnawi, Y. I.
al-Tayyib, A.
Source
Egyptian Pediatric Association Gazette
Issue
Vol. 65, Issue 3 (30 Sep. 2017), pp.90-94, 5 p.
Publisher
Egyptian Pediatric Association
Publication Date
2017-09-30
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Topics
Abstract EN
Introduction : It is known that age, the degree of glycemic deterioration and the immune status at the time of the onset of type 1 diabetes (T1DM) are objective factors that can predict the residual B-cell function and the glycemic control 1 year after diagnosis.
Objective: Evaluation of the long-term prognosis of T1DM in relation to the clinical characteristics at the time of diabetes onset.
Methods: An observational retrospective study conducted on 200 patients including all the patients with newly diagnosed T1DM in the period from 2003 to 2013.
Results: Fifty-three percent of the studied cohort presented initially by diabetic ketoacidosis (DKA).
The current studied cohort showed that younger patients required more insulin during follow-up.
Female patients needed higher insulin doses at 8 and 10 years after diagnosis, yet no difference among both genders during early years of follow up.
Patients presenting with DKA required higher insulin requirements over the first 2 years and poor glycemic control.
C-peptide levels at diagnosis correlated with insulin requirements during the first 2 years.
Insulin dose at onset correlated positively with the insulin dose over the entire follow up period.
A positive correlation was found between HbA1c at onset and 1, 2 and 4 year.
Conclusion: Female gender, younger age, presence of DKA, lower C-peptide and higher HbA1c at onset could predict a poor long-term outcome.
Identification of factors related to a worse outcome of T1DM at the onset of diabetes might help in selecting those patients who should be given more intensive treatment.
American Psychological Association (APA)
al-Samahi, M. H.& al-Hinnawi, Y. I.& al-Tayyib, A.. 2017. Long-term prognosis of type 1 diabetes in relation to the clinical characteristics at the onset of diabetes. Egyptian Pediatric Association Gazette،Vol. 65, no. 3, pp.90-94.
https://search.emarefa.net/detail/BIM-778324
Modern Language Association (MLA)
al-Samahi, M. H.…[et al.]. Long-term prognosis of type 1 diabetes in relation to the clinical characteristics at the onset of diabetes. Egyptian Pediatric Association Gazette Vol. 65, no. 3 (Sep. 2017), pp.90-94.
https://search.emarefa.net/detail/BIM-778324
American Medical Association (AMA)
al-Samahi, M. H.& al-Hinnawi, Y. I.& al-Tayyib, A.. Long-term prognosis of type 1 diabetes in relation to the clinical characteristics at the onset of diabetes. Egyptian Pediatric Association Gazette. 2017. Vol. 65, no. 3, pp.90-94.
https://search.emarefa.net/detail/BIM-778324
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 94
Record ID
BIM-778324