Insulin-dependent diabetes mellitus in children: Familial and clinical patterns in Riyadh

H Salman1, A Abanamy, B Ghassan

  • 1Suleimania Children's Hospital, Riyadh, Saudi Arabia.

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.

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