HbA1, height velocity and weight gain as indicators of metabolic control in type I diabetic children. A 5 year survey.
The purpose of this study was to evaluate the metabolic control of the type I diabetic patients seen from 1984 to 1988. We analyzed the results of HbA1, height velocity and weight gain. Results showed that from 1984 1985 a 90% of diabetics were in poor metabolic control with HbA1 > 11% (good control < 11%). For 1988 the percentage of poor controlled patients descended to 78%. On the other hand, these patients observed a significant decrease in height velocity and weight gain compared with diabetics with HbA1 < 11% (p < 0.005 and p < 0.001). In addition, diabetics in poor metabolic control were under 10 and 3 number percentiles of the weight and growth diagrams. Finally, we found a significant correlation between HbA1 and height velocity as well as HbA1 and weight gain (r = -0.77 and r = -0.79; p < 0.001 for both). Our results showed that a great percent of our patients were in poor metabolic control with a decreased height velocity and weight gain.
Arreola
F
F
Depto. de Endocrinología Pediátrica Médica, Hosp. de Pediatría Centro Médico Nacional Siglo XXI, IMMS.
Junco
E
E
Partida-Hernández
G
G
Almengor
A
A
Mondragon
L
L
D000293:Adolescent; D001827:Body Height; D002648:Child; D002675:Child, Preschool; D003922:Diabetes Mellitus, Type 1 / Q000150:complications / Q000188:drug therapy / Q000378:metabolism* / Q000503:physiopathology; D005260:Female; D005500:Follow-Up Studies; D006442:Glycated Hemoglobin / Q000032:analysis*; D006130:Growth Disorders / Q000209:etiology; D006801:Humans; D007223:Infant; D007328:Insulin / Q000627:therapeutic use; D007333:Insulin Resistance; D008297:Male; D011627:Puberty / Q000502:physiology; D015430:Weight Gain
D006442:Glycated Hemoglobin; D007328:Insulin