title: Retrospective analyses of reasons why children with newly diagnosed type 1 diabetes visit the emergency department.
abstract: OBJECTIVE
  This retrospective study evaluates the clinical and laboratory values of children with type 1 diabetes at the time of first admission to the emergency service. Methods : It is a retrospective study to examine the clinical & laboratory findings of children visiting the emergency service between 2009 & 2012. The sample of the study included 111 children with newly diagnosed type 1 diabetes. Student t test and chi-square test were used in the analysis.
  
  
  RESULTS
  HbA1c and blood glucose levels and ketoacidosis frequency was found significantly changed (p<0.05). It was detected that the frequency of ketoacidosis at the time of diagnosis was 60% in the children with type 1 diabetes while it was 45% in the second group and 34% in the third group. This difference at the time of admisison was found to be statistically significant (p<0.05).
  
  
  CONCLUSIONS
  It became possible to diagnose children with type 1 diabetes much earlier over the course of time, and the number of patients that could be treated before severe diabetic ketoacidosis developed increased. This results is of great importance as it will provide a guide for all medical professionals including nurses.
authors: Elif Unsal Avdal, RN, PhD, Assistant Professor, Izmir Katip Celebi University, Faculty of Health Sciences, Izmir, Turkey.
authors: Elif Unsal
authors: EU
authors: Avdal
authors: Burcu Arkan, RN, PhD, Assistant Professor, Uludag University School of Health, Nursing, Bursa, Turkey.
authors: Burcu
authors: B
authors: Arkan
authors: Yasemin Tokem, RN, PhD, Associate Professor, Izmir Katip Celebi University, Faculty of Health Sciences, Izmir, Turkey.
authors: Yasemin
authors: Y
authors: Tokem
authors: Medet Korkmaz, RN, PhD, Assistant Professor, Sanko University, Faculty of Health Science,Gaziantep,Turkey.
authors: Medet
authors: M
authors: Korkmaz
authors: Fatma Iltus Kirbiyikoglu, MSc, Lecturer, Izmir Katip Celebi University, Faculty of Health Sciences, Izmir, Turkey.
authors: Fatma Iltus
authors: FI
authors: Kirbiyikoglu
keywords: Childhood; Emergency Service; Ketoacidosis; Retrospective; Type 1 Diabetes Mellitus