Lokraj Shah, Sunetra Sanyal, Gauri Shankar Shah and Mukesh Bhatta
BP Koirala Institute of Health Sciences, Nepal
Aim: The objective of this study was to study the clinical profile and outcome of patients admitted with type 1 diabetes mellitus in tertiary care centre of eastern Nepal. Method: A prospective descriptive study was carried out in the Department of Pediatric and Adolescent Medicine at BPKIHS, Dharan from January 2014 to February 2015. Details of socio-demographic, clinical, laboratory, treatment and outcome parameters were recorded in a pre-designed proforma. Data was analyzed using SPSS version 21. Results: Out of 24 samples, median age was 11.5 years (range=4-18 years). Females were 58.3%. 66.7% were admitted with DKA. Most patients were from lower socio-economic status and rural background. The classical symptoms were polyuria, polydipsia and polyphagia and these symptoms were present in all cases. 46% were newly diagnosed. 37.5% presented with DKA at onset. Conclusion: Type 1 diabetes mellitus though not curable is a treatable disease. Besides compliance to insulin, self-monitoring of blood glucose, dietary restrictions and regular follow-up, compassionate counseling plays a major role in achieving good glycemic control and is important to avoid life threatening complications like diabetes ketoacidosis.
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