Læknablaðið - 15.10.2008, Page 14

■ FRÆÐIGREINAR
RANNSÓKNIR
6. Kristinsson JK, Guðmundsson JR, Stefánsson E, et al.
Screening for diabetic retinopathy. Initiation and frequency.
Acta Ophthalmol Scand 1995; 73: 525-8.
7. Olsen BS, Johannesen J, Sjolie AK, et al. Metabolic control and
prevalence of microvascular complications in young Danish
patients with Type 1 diabetes mellitus. Danish Study Group
of Diabetes in Childhood. Diabet Med 1999; 16: 79-85.
8. Trotta D, Verrotti A, Salladini C, Chiarelli F. Diabetic
neuropathy in children and adolescents. Pediatr Diabetes
2004; 5: 44-57.
9. Mortensen HB, Hougaard P. Comparison of metabolic control
in a cross-sectional study of 2,873 children and adolescents
with IDDM from 18 countries. The Hvidore Study Group on
Childhood Diabetes. Diabetes Care 1997; 20: 714-20.
10. Hoey H, Aanstoot HJ, Chiarelli F, et al. Good metabolic
control is associated with better quality of life in 2,101
adolescents with type 1 diabetes. Diabetes Care 2001; 24:
1923-8.
11. Tamborlane WV, Kollman C, Steffes MW, et al. Comparison
of fingerstick hemoglobin Alc levels assayed by DCA 2000
with the DCCT/EDIC central laboratory assay: results of a
Diabetes Research in Children Network (DirecNet) Study.
Pediatr Diabetes 2005; 6:13-6.
12. Cameron FJ. The impact of diabetes on health-related quality
of life in children and adolescents. Pediatr Diabetes 2003; 4:
132-6.
>-
GC
<
D
Cf)
I
cn
_i
o
z
LU
Þórisdóttir RL, Bjarnason R, Konráðsdóttir E, Þórsson ÁV
Childhood type 1 diabetes in lceland; Evaluation of quality of treatment
Introduction: The importance of adequate metabolic
control in Type 1 DM has been repeatedly demonstrated in
recent years. The care of diabetic children and adolescents
in lceland is centralized to one unit. The aim of the
study was to analyze the quality of treatment and acute
complications of lcelandic children with Type 1 diabetes.
Methodology: The total number of diabetic children in
paediatric care was 98. A cross-sectional survey was
done for the period March 15th to July14th 2004. The
results for the patient last visit to the diabetes clinic were
recorded. HbA1c levels (DCA 2000) and number of severe
hypoglycaemic episodes, were evaluated.
Results: The number of visits to the clinic during the 4
month interval were 83 (43 boys, 40 girls), mean age 13.3
± 3.78 years. Mean value of HbA1c in the cross-sectional
survey was 8.16 ± 1.31 %. No difference in HbA1c was
found between girls and boys. HbA1c increased with age
in girls (p<0.01). Ten children experienced a total of 12
severe hypoglycaemic events during the period (43.4/100
patient years).
Conclusion: Overall the metabolic control in children and
adolescents with IDDM in lceland is satisfactory compared
to internationally published results. It is important to focus
attention on children with inadequate metabolic control,
especially adolescent girls, and children experiencing
serious hypoglycaemic episodes.
Keywords: Type 1 Diabetes Mellitus, Treatment, Pediatrios, HbA1c, Hypoglycemia.
Correspondence: Árni V. Þórsson, arniv@landspitali.is
Barst: 13. febrúar 2008, - samþykkt til birtingar 27. júní 2008.
662 LÆKNAblaðið 2008/94