Outcomes of Health Care Services Provided to Egyptian Patients with Type 1 Diabetes Mellitus Attending Pediatric Diabetology Unit, Children's Hospital, Ain-Shams University

Abstract

The aim of this study was to evaluate current health care services provided to patients with type 1 diabetes mellitus registered in Diabetology clinic, Children's hospital of Ain-Shams University in terms of metabolic control and complications encountered as primary outcomes. This cross-sectional study was conducted on all eligible patients attending Pediatric and Diabetology Unit, Children's hospital, Ain Shams University, during the period between May 2017 and July 2018. Patients' data was collected via the case record form of clinic including baseline and follow up examination and investigations. In addition, knowledge of 120 patients or parents was assessed via a questionnaire. The mean age of patients was 12.63 ± 3.41(range 4-18) years with mean diabetes duration 5.54 ± 3.07 years. A bit higher percent of female patients (58.8%) was enrolled. Those with diabetes duration 5 years or more constituted 57.3%. Eighty-five and half percent of patients were of low social class. Only 9 patients were on insulin pump therapy, and 98.7 were on basal bolus therapy. Severe hypoglycemia was reported in 16.7%, whereas about a third 30.5% were admitted with DKA during the last year prior enrollment. the most common co-morbidities with T1D were hypothyroidism (1.9%) and celiac disease (1.3%). Five patients were Down syndrome who developed later T1D. BMI was normal in nearly half (49.9%) of patients, 38.8% were underweight, 9.4% were overweight and 1.9% were obese. Seventy-three % were pubertal in different stages, and only one patient had delayed puberty. Forty-five patients were on ACE inhibitors.