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Prevalence of DM is increasing globally specially in Asian countries and more so in India. 8 Despite of available information, till now no research work had been published from Katihar, which is located ABSTRACT Background: The aim of this study was to determine the pattern of clinical presentation and factor associated with microalbuminuria. Methods: Urinary albumin excretion of children and adolescents diagnosed with type 1 diabetes mellitus attending diabetic clinic of Katihar medical college hospital over a period of one year. Collected blood and urine samples were analysed for glycated haemoglobin, cholesterol, triglycerides, and for 12 hour urinary albumin concentration. Blood pressures were recorded and clinical data collected. Results: During the study period 215 patients were diagnosed with type1 DM. Out of 215, fourty-three patients (20%) had persistent microalbuminuria. Factor associated with microalbuminuria in diabetic patients include duration of diabetes mellitus, higher blood pressure, higher cholesterol and triglyceride levels. Conclusion: Type 1 DM is treatable and testing is acceptable and accessible to the patients. As microalbuminuria is an early microvascular complications, it is highly recommended to screen all diabetic patients for the incidence of microalbuminuria and modifiable risk factors like dyslipidemia at the onset and then yearly assessment. Efforts need to be intensified in education of health workers and population at large for quick presentation and prompt diagnosis in order to predict overt diabetic nephropathy and also to prevent its progression.

Background: Despite India's remarkable economic growth over the last decade, many children still struggle to meet their basic needs, include access to sufficient food and health care .In this context it was important to get a more recent data on child nutritional status. Aims & Objective: (1) Prevalence of malnutrition in children under 5 years of age coming to Pediatric OPD at Katihar medical college; (2) Age and sex most severely affected by malnutrition; (3) Identify major risk factors associated with malnutrition in the population under study. Material and Methods: Institution based cross-sectional study was carried out in Pediatric OPD of Katihar medical college The median weight for height, height for age and weight for height of NCHS standard were used as references anthropometric indices. A total of 260 randomly selected children were covered in the study of 20 days. Results: Prevalence of underweight (30%), stunted (74.2%) and wasting (41.9%). The major risk factors affecting nutritional status include mother's age, mothers and fathers education, monthly per capita income, pre lacteal feeds, birth order and duration of breast feeding. The study demonstrates multiple risk factors affecting nutrition status. Conclusion: The study demonstrates multiple risk factors affecting nutrition status. A more elaborate community based study would help to find out prevalence of malnutrition in children of Katihar and it should be done at regular interval in order to monitor the situation.

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