[Analysis of type 1 diabetes mellitus symptoms at admission to hospital].
OBJECTIVE
The aim of study was analysis of type 1 diabetes mellitus symptoms at admission to hospital.


METHODS
Thirty-seven patients (21 boys and 16 girls) aged from 1.87 to 19.75 years with admitting diagnosis of diabetes mellitus in the year 2000 (the greatest count of patients) were analyzed. In statistical analysis the t-Student test was used.


RESULTS
The most frequent symptoms was dry sensation in mouth 95% of patients, polydypsia 84%, polyuria 65%, lose on weight 49%, nocturia - 27% children. Nine children were admitted to hospital in serious ketoacidosis. Twenty-eight children were admitted to hospital in good condition. There were not essential abnormalities in the blood. Observation period in poor general condition group was shortest for children living in the country - on the average 9 days versus patient from cities - 18 days. There was not difference in good general condition group. HbA1c, pH, HCO3 values were statistically significant. In 3 cases diagnosis of diabetes mellitus was preceded by an eliminating others diseases. In 2 children hyperglycemia was established by chance.


CONCLUSIONS
1) Ketoacidosis symptoms and serious state was observed in 1/4 patient admitted to hospital. 2) It is necessary to take diabetes mellitus into consideration more often in differentiation in pediatric practice. 3) Short observation period of severe ketoacidosis symptoms in-patient from country origin and dismiss preliminary diagnosis may indicate insufficient healthy education - especially in the field of diabetes mellitus. 4) Less than half of patients report to family doctors.
Jasiński
Dariusz
D
Oddział Pediatrii i Endokrynologii Wojewódzkiego Szpitala Dzieciecego w Bydgoszczy, Bydgoszcz, Poland.
Pilecki
Olgierd
O
Robak-Kontna
Katarzyna
K
Zbikowska-Bojko
Maria
M
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000175:diagnosis* / Q000453:epidemiology; D016883:Diabetic Ketoacidosis / Q000453:epidemiology / Q000209:etiology; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D010343:Patient Admission / Q000706:statistics & numerical data*; D011044:Poland / Q000453:epidemiology; D011141:Polyuria / Q000453:epidemiology / Q000209:etiology; D012189:Retrospective Studies; D012307:Risk Factors; D012423:Rural Health; D012720:Severity of Illness Index; D012959:Socioeconomic Factors; D013894:Thirst; D014504:Urban Health; D014555:Urination Disorders / Q000453:epidemiology / Q000209:etiology; D015431:Weight Loss