Symptomatology of Diabetes Mellitus in Very Young Children

Authors: M. Dvořáčková;  Š. Průhová;  V. Rákosníková;  J. Lebl
Authors‘ workplace: Klinika dětí a dorostu 3. LF UK, FN Královské Vinohrady, Praha, přednosta doc. MUDr. J. Lebl, CSc.
Published in: Čes-slov Pediat 2001; (11): 644-646.


From contemporary analyses it is apparent that in the Czech Republic the proportion of children is increasing where diabetes mellitus type 1 is manifested in the first years of life. The manifestation of the disease in this age group may be associated with a number of symptoms different from those typical for the disease in schoolchildren and adolescenta. This leads frequently to a late diagnosis of the disease and more serious initial metabolic disturbance.Using a questionnaire authors addressed the parents of 37 children where diabetes mellitus was manifested before the age of 6 years. The questionnaire was completed by 33 parents. The most frequent symptom in the age group from 0 - 3 years was polydipsia (91%). Manifestations of polyuria (73%) recorded by the parents were frequent wet napkins or secondary enuresis. In the age group from 3 - 6 years the clinical picture resembled more that in older children, polyuria dominated (95%), associated in 50% with nocturnal or diurnal enuresis. Weight losses and fatigue were striking features. In ahnost one third of the children aged 0 - 6 years the diagnosis is established only in the stage of clinically significant ketoacidosis.

Key words:
diabetes mellitus type 1, children, symptoms

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Neonatology Paediatrics General practitioner for children and adolescents
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