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[Difficulties in maintaining metabolic control in children with insulin-dependent diabetes mellitus during war]
N Arifhodzić1, D Milicić, I Tahmiscija
1Pedijatrijska klinika, Klinicki centar Sarajevo.
Insights
This study found that metabolic control in diabetic children during the 1992/93 war was unsatisfactory. Factors like insulin dosage and food intake negatively impacted blood glucose levels, increasing risks for complications.
Area of Science:
- Pediatric Endocrinology
- Metabolic Disorders
- Public Health during Conflict
Abstract:
In this study we analyzed the quality of metabolic control in 42 diabetic children aging 5-20 years (x 14 + 5.1) during the war 92/93 year. We estimated metabolic control in these patients by traditional methods: 24 hours glycaemia (every 3 months), 24 hours glycosuria and home monitoring of glycosuria (self-control 4 times daily) Glicolizated HbA1C and the other up to date laboratory findings we were not able to do in any of diabetics. Metabolic control in all analysed patients was unsatisfactory metabolic control only in 19.1% of diabetics. High level of blood glucose were influenced by in coordinated doses of human insulin and bad correlated food intake during the war. Long duration of hyperglycaemia would have high influence onto early development of microvascular complications.