Glycemic control in children and adolescents with type 1 diabetes mellitus in post conflict Iraq: a primary report

Dena M. Kadhim; Eman A. Al-Kaseer; Munib A. Al-Zubaidi

doi:10.32007/jfacmedbagdad.583263

Authors

Dena M. Kadhim Dept. of Family and Community Medicine, College of Medicine, Baghdad University Correspondence
Eman A. Al-Kaseer Dept. of Family and Community Medicine, College of Medicine, Baghdad University
Munib A. Al-Zubaidi Dept. of Pediatrics, College of Medicine, Baghdad University.

DOI:

https://doi.org/10.32007/jfacmedbagdad.583263

Keywords:

DM, T1DM, glycemic control, Iraq.

Abstract

Background: Type 1 diabetes mellitus (T1DM) is a common disease in childhood. A linear relation between glycemic control (HbA1c < 7) and onset or progression of complication was detected. Only few individuals achieve glycemic control.
Objective: To estimate the glycemic control among diabetic children attending tertiary center.
Methods: All diabetic children registered in the diabetic consultancy clinic in Children Welfare Teaching hospital (298) were included in the study. Case records were reviewed and information on demography, weight and height, age at diagnosis and HbA1c was requested.
Results: Out of the total, 23.8% diabetic children had glycemic control. Glycemic control was decreasing with age (p=0.001), significantly prominent in preschool children (p=0.001), and inversely related with BMI (p=0.03). Sex was not affecting glycemic control.
Conclusion: Rate of glycemic control was low. It is poorer in those diagnosed in school age, adolescents and obese children.