Hypercalciuria, hyperphosphaturia, and growth retardation in children with diabetes mellitus

Pediatrics
|August 1, 1986
PubMed

Insights

Children with diabetes mellitus often experience growth retardation. Renal losses of calcium and phosphorus, linked to glucosuria, significantly impact their height more than hyperglycemia alone.

Area of Science:

  • Pediatric Endocrinology
  • Metabolic Disorders
  • Nephrology

Background:

  • Children with diabetes mellitus (DM) frequently exhibit growth retardation compared to their healthy peers.
  • Investigating the specific factors contributing to poor growth in pediatric DM is crucial for effective management.

Observation:

  • A cross-sectional study assessed 157 children with DM and 37 non-diabetic siblings.
  • Children with DM showed significantly reduced mean height.
  • Hyperglycemia, hypercalciuria, and hyperphosphaturia were measured alongside height.

Findings:

  • The duration of diabetes (hyperglycemia) negatively correlated with height, with significant differences emerging after 7 years.
  • Hypercalciuria and hyperphosphaturia were more strongly associated with reduced height than hyperglycemia.
  • Renal wasting of calcium and phosphorus appeared secondary to glucosuria.

Implications:

  • Hypercalciuria and hyperphosphaturia, known growth inhibitors in non-diabetic children, likely contribute significantly to poor growth in pediatric DM.
  • Understanding these renal mechanisms may lead to targeted interventions to improve growth outcomes in children with diabetes.

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