scholarly journals Prevalence and identification of type 1 diabetes in Chinese adults with newly diagnosed diabetes

2019 ◽  
Vol Volume 12 ◽  
pp. 1527-1541
Author(s):  
Xiaohan Tang ◽  
Xiang Yan ◽  
Houde Zhou ◽  
Xilin Yang ◽  
Xiaohong Niu ◽  
...  
2009 ◽  
Vol 2 (2) ◽  
pp. 81-83
Author(s):  
S S Ahmad ◽  
A Misra ◽  
A Glenn ◽  
R C Temple

Acute cataract is recognized as a rare complication in adolescents with type 1 diabetes mellitus and may be associated with rapid improvement in glycaemia in patients with newly diagnosed diabetes. Transient cataracts, which resolve following improved metabolic control, and irreversible cataracts requiring surgery have also previously been documented. Development or progression of retinopathy may complicate pregnancy in women with diabetes. To our knowledge, we present the first case report of an acute cataract developing postpartum in a woman with type 1 diabetes. This rare case serves to demonstrate a possible association between acute cataract and altered glycaemic control in pregnancy. Acute cataract should be considered in any woman with diabetes who develops sudden visual loss following pregnancy.


2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Stefano Zucchini ◽  
Andrea E. Scaramuzza ◽  
Riccardo Bonfanti ◽  
Pietro Buono ◽  
Francesca Cardella ◽  
...  

We conducted a retrospective survey in pediatric centers belonging to the Italian Society for Pediatric Diabetology and Endocrinology. The following data were collected for all new-onset diabetes patients aged 0–18 years: DKA (pH < 7.30), severe DKA (pH < 7.1), DKA in preschool children, DKA treatment according to ISPAD protocol, type of rehydrating solution used, bicarbonates use, and amount of insulin infused. Records(n=2453)of children with newly diagnosed diabetes were collected from 68/77 centers (87%), 39 of which are tertiary referral centers, the majority of whom (n=1536, 89.4%) were diagnosed in the tertiary referral centers. DKA was observed in 38.5% and severe DKA in 10.3%. Considering preschool children, DKA was observed in 72%, and severe DKA in 16.7%. Cerebral edema following DKA treatment was observed in 5 (0.5%). DKA treatment according to ISPAD guidelines was adopted in 68% of the centers. In the first 2 hours, rehydration was started with normal saline in all centers, but with different amount. Bicarbonate was quite never been used. Insulin was infused starting from third hour at the rate of 0.05–0.1 U/kg/h in 72% of centers. Despite prevention campaign, DKA is still observed in Italian children at onset, with significant variability in DKA treatment, underlying the need to share guidelines among centers.


2018 ◽  
Vol 10 (3) ◽  
pp. 289-293 ◽  
Author(s):  
Marta Baszyńska-Wilk ◽  
Marta Wysocka-Mincewicz ◽  
Anna Świercz ◽  
Jolanta Świderska ◽  
Magdalena Marszał ◽  
...  

2021 ◽  
Vol 6 (3) ◽  
pp. 142
Author(s):  
Alaa A. Farag ◽  
Hassan M. Hassanin ◽  
Hanan H. Soliman ◽  
Ahmad Sallam ◽  
Amany M. Sediq ◽  
...  

A great global concern is currently focused on the coronavirus disease 2019 (COVID-19) pandemic and its associated morbidities. The goal of this study was to determine the frequency of newly diagnosed diabetes mellitus (DM) and its different types among COVID-19 patients, and to check the glycemic control in diabetic cases for three months. After excluding known cases of DM, 570 patients with confirmed COVID-19 were studied. All participants were classified as non-diabetic or newly discovered diabetic. According to hemoglobin A1c (HbA1c) and fasting insulin, newly discovered diabetic patients were further classified into pre-existing DM, new-onset type 1 DM, and new-onset type 2 DM. Glycemic control was monitored for three months in newly diagnosed diabetic patients. DM was diagnosed in 77 patients (13.5%); 12 (2.1%) with pre-existing DM, 7 (1.2%) with new-onset type 1 DM, and 58 (10.2%) with new-onset type 2 DM. Significantly higher rates of severe infection and mortality (p < 0.001 and p = 0.046) were evident among diabetic patients. Among survived diabetic patients (n = 63), hyperglycemia and the need for anti-diabetic treatment persisted in 73% of them for three months. COVID-19 was associated with a new-onset of DM in 11.4% of all participants and expression of pre-existing DM in 2.1% of all participants, both being associated with severe infection. COVID-19 patients with newly diagnosed diabetes had high risk of mortality. New-onset DM persisted for at least three months in more than two-thirds of cases.


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