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Related Experiment Videos

Good diabetic control - a study in mass delusion.

J I Malone, J M Hellrung, E W Malphus

    The Journal of Pediatrics
    |June 1, 1976
    PubMed
    Summary

    Diabetic control, aiming for normal glucose metabolism, was assessed in 220 children. Many children had inaccurate urine sugar tests, highlighting challenges in monitoring diabetic control effectively.

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    Area of Science:

    • Pediatrics
    • Endocrinology
    • Clinical Chemistry

    Background:

    • Diabetic control is crucial for normal glucose metabolism in children.
    • Accurate monitoring of glucose levels is essential for effective diabetes management.
    • Urine reducing substances (URS) testing is a common method for assessing diabetic control.

    Purpose of the Study:

    • To evaluate the accuracy of self-monitoring of urine reducing substances (URS) by diabetic children.
    • To assess the level of diabetic control achieved in a cohort of diabetic children attending a camp.
    • To differentiate between diabetic control and diabetic management.

    Main Methods:

    • A cohort of 220 diabetic children attending a camp were instructed to collect and test their urine for URS.

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  • Urine samples were tested by both the children and laboratory technicians for URS.
  • Diabetic control was defined as URS less than 25gm/24 hours.

    • Main Results:

    • 74% of children complied with the request to test their urine.
    • 50% of URS values determined by children varied significantly from laboratory results.
    • Good diabetic control was observed in only 18 out of 54 children assessed for this parameter.

    Conclusions:

    • Self-monitoring of URS by diabetic children can be inaccurate, potentially compromising effective diabetic control.
    • The study highlights discrepancies between patient-performed and laboratory-based URS testing.
    • Improving the accuracy of home-based monitoring is essential for optimizing diabetes management in pediatric populations.