Diabetes mortality in a tertiary referral hospital in India

Virmani, Anju; Ushabala, P.; Rao, P V

doi:10.1016/0140-6736(90)91218-y

Cited by 6 publications

(4 citation statements)

References 1 publication

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“…Sometimes lack of awareness means death before diagnosis, or soon after diagnosis. [145][146][147] Increasing awareness and education among health care personnel can help. Additionally, families can be put in touch with each other and can offer peer support and education.…”

Section: Children With Diabetes In the School Settingmentioning

confidence: 99%

ISPAD Clinical Practice Consensus Guidelines 2018: The delivery of ambulatory diabetes care to children and adolescents with diabetes

et al. 2018

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Section: Children With Diabetes In the School Settingmentioning

confidence: 99%

ISPAD Clinical Practice Consensus Guidelines 2018: The delivery of ambulatory diabetes care to children and adolescents with diabetes

et al. 2018

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“…There are no data about the number of pediatric endocrinologists; multidisciplinary pediatric diabetes clinics are available only in China's leading children's hospitals. Sometimes lack of awareness means death before diagnosis, or soon after diagnosis . Increasing awareness and education among health care personnel can help.…”

Section: Delivery Of Ambulatory Carementioning

confidence: 99%

ISPAD Clinical Practice Consensus Guidelines 2018: Limited Care Guidance Appendix

Codner¹,

Acerini²,

Craig³

et al. 2018

Pediatr Diabetes

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“…Other major limitations are poor infrastructure and low public expenditure on health, leading to significant out-of-pocket expenses by individuals. [ 1 ] Poor care and delayed or no prevention strategies lead to more complications. Due to these inadequacies in the medical care system, the patient and family are trapped in a vicious cycle of increased acute and chronic complications, thus further elevating costs, mortality, absenteeism from work and hence decrease in income, employability, and quality of life, further pushing the family into indebtedness and poverty.…”

Section: Introductionmentioning

confidence: 99%

Growth disorders in type 1 diabetes: an Indian experience

Virmani¹

2015

Indian J Endocr Metab

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Though children with type 1 diabetes mellitus (T1DM) are often tall at the time of diagnosis, they may experience growth retardation, pubertal delay or both, which may be due to poor glycemic control, associated diseases or chronic complications. Factors affecting growth include: gender, genetic environment, age at diagnosis, diabetes duration, puberty, metabolic control, and status of growth hormone (GH), insulin-like growth factors (IGFs), and IGF binding proteins (IGFBPs). Insulin regulates expression of hepatic GH receptors, affects IGFs and IGFBPs synthesis by modulating GH postreceptor events, and significantly increases IGF-I bioactivity. Low portal insulin seen in T1DM leads to GH hypersecretion, low circulating IGF-I and IGFBP-3, and high circulating IGFBP-1. Newly diagnosed T1DM patients have decreased GHBP which can be restored with insulin therapy. Growth velocity should be appropriate for the age of the child/adolescent, and the mid-parental height. Height, weight and blood pressure (BP) should be measured and plotted on a growth chart at least 2–3 times a year. Puberty should also be assessed annually. Following precautions are to be taken in T1DM children: checking for pubertal onset and ensuring it is not delayed, testing early when growth falters (hypothyroidism/celiac disease/puberty/other conditions), aiming for best possible metabolic control (multidose regimens, regardless of type of insulin), and encouraging dietary calcium and protein, exposure to sunlight, Vitamin D supplements and exercise.

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Diabetes mortality in a tertiary referral hospital in India

Cited by 6 publications

References 1 publication

ISPAD Clinical Practice Consensus Guidelines 2018: The delivery of ambulatory diabetes care to children and adolescents with diabetes

ISPAD Clinical Practice Consensus Guidelines 2018: The delivery of ambulatory diabetes care to children and adolescents with diabetes

ISPAD Clinical Practice Consensus Guidelines 2018: Limited Care Guidance Appendix

Growth disorders in type 1 diabetes: an Indian experience

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