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Insulin-dependent diabetes mellitus in children: Familial and clinical patterns in Riyadh
Insights
Type I diabetes in Saudi children is common, often diagnosed young with diabetic ketoacidosis. Partial remission rates are low, suggesting unique disease characteristics in the region.
Area of Science:
- Pediatrics
- Endocrinology
- Public Health
Background:
- Type I diabetes mellitus (TIDM) prevalence data is scarce in Saudi Arabia, with most reports focusing on Type II.
- Understanding TIDM in children is crucial for public health initiatives and early intervention strategies.
Purpose of the Study:
- To investigate the incidence, clinical characteristics, and outcomes of Type I diabetes in children in Saudi Arabia.
- To establish baseline data for future research and clinical management of TIDM in the Saudi pediatric population.
Main Methods:
- Retrospective analysis of 110 children diagnosed with TIDM at Suleimania Children's Hospital between 1985-1989.
- Data collection included patient demographics, age at onset, clinical signs, family history, consanguinity, and remission rates.
Main Results:
- TIDM affected 110 Saudi children (74.5% Saudis, 53.6% female) with a mean onset age of 5.87 years.
- Diabetic ketoacidosis was the most common presentation (67.2%), with 30% diagnosed before age three.
- Partial remission occurred in 30.9% of patients, a lower rate potentially linked to young age at onset and disease severity.
Conclusions:
- Type I diabetes in Saudi children presents with a notably young age at onset and high rates of diabetic ketoacidosis.
- Lower partial remission rates suggest distinct disease patterns or management challenges in this population.
- Further research, including a local registry, is essential to accurately determine TIDM incidence and characteristics in Saudi Arabia.
Abstract:
Type I diabetes mellitus is probably common in Saudi Arabia, but only a small amount of information on the disease is available and most cases reported so far have been type II diabetes mellitus. Type I diabetes was diagnosed in 110 children who were followed at Suleimania Children's Hospital over a five-year period (1985-1989). Saudis represented 74.5% (82/110) of the patients, and 53.6% (59/110) were female. Consanguinity existed in 42.7% (47/110) of the parents. A first-degree family history was positive for insulin-dependent diabetes mellitus in 28.1% (31/110). Mean age at onset was 5.87 years, which is low compared with other ages cited in the literature. Thirty-three patients (30%) were below three years of age at onset. The most common clinical sign was diabetic ketoacidosis, which was seen in 67.2% (74/110). Duration of symptoms before diagnosis ranged from two days to more than two months, with a mean of 18.2 days. Partial remission was seen in 30.9% (34/110). This low percentage is probably due to the young age distribution at onset and perhaps to a different pattern of severity of the disease in our community. Further studies, including opening a local registry, are needed for confirming the incidence and characteristics of the disease in Saudi Arabia.
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