Rahim Vakili, Mohammad Javad Mosavi Tagheabadi,
Volume 2, Issue 2 (17 2003)
Abstract
Background: Diabetes mellitus, the most common metabolic disorder of childhood, has important physical and emotional complications this urges the role of patient education and self-monitoring. Diabetes is costly since patients have to do several lab tests and spend a lot on treatment.
Methods: 150 patients with IDDM entered this cross-sectional study. The metabolic control and degree to which these patients were utilizing available facilities were determined and compared with same surveys from Germany, France, USA, Australia, and Saudi Arabia.
Results: 91.3% of patients had no glucometer thus were unable to do self-monitoring. HbA1C had been regularly determined in only 8.66%. Insulin therapy was improper or inadequate in 59.1%. The quality of metabolic control was significantly poorer than the other mentioned nations (P< 0.001).
Conclusion: The study advocates educational programs for diabetics. Complete insurance coverage and free weekly lab tests are also suggested.
Rahim Vakili, Mahmood Mahmoudi, Ali Ghasemi,
Volume 3, Issue 1 (16 2004)
Abstract
Diabetes mellitus is the commonest endocrine-metabolic disorder during the early years of life. As many as one in five of insulin-dependent diabetics may have thyroid antibodies in their sera, which is 2-20 times higher than the general population.
Methods: Tpo-ab, Tg-ab, TSH and HbAlC were measured in 48 children and adolescents with diabetes and compared with for sex/age-matched controls. Clinical data including sex, age at onset and duration of diabetes, family history and signs and symptoms of thyroid disorders were recorded. Statistical analysis was made using SPSS software.
Results: In diabetic group, twelve patients had positive thyroid autoantibodies Tg-ab was positive in ten and Tp-ab was positive in nine and both were positive in seven patients. The prevalence of thyroid antibodies in our study was 25% and in the control group, nobody had thyroid antibodies (P=0.006). Of the twelve patients with autoimmune thyroid disorders, three had hypothyroidism.
Conclusion: The prevalence of autoimmune thyroid disorders was not influenced by sex, age, duration of diabetes or HbAlc level. On the whole, nearly one-fourth of diabetic patients had thyroid antibodies, and annual thyroid antibodies investigation for these patients is suggested.
