Literature DB >> 24706426

Clinical characteristics of type 1 diabetes over a 40 year period in Turkey: secular trend towards earlier age of onset.

Didem Ardicli, Nurgun Kandemir, Ayfer Alikasifoglu, Alev Ozon, Nazli Gonc.   

Abstract

UNLABELLED: OBJective: To determine the demographic and clinical characteristics of type 1 diabetes (T1D) in the past two decades, and to analyze changing trends over the past 40 years.
METHODS: Patients with a diagnosis of T1D in 1990-2010 were included. Patients diagnosed in the first half of the period comprised Period I, and those from the second half comprised Period II. Age at onset, gender, seasonal distribution, infectious etiology, and clinical picture at onset are analyzed and compared in two periods. In addition, we compared these data with that of the preceding two decades (1969-1991), which was reported in a previous publication.
RESULTS: A total of 354 children with T1D were included in the study. The median age at diagnosis of T1D was 7 years in the period 1990-2010 in comparison to 9.5 years during the period 1969-1991. Patients were diagnosed mostly in winter and autumn, and 32.3% of the children had an infection at the time of diagnosis. Frequency of diabetic ketoacidosis was 50.8% at diagnosis. The peak age at onset was 4 to 6 years.
CONCLUSIONS: Our study provides substantial information about the clinical characteristics of Turkish children. The age of onset of T1D decreased in the past 20 years, as observed in other parts of the world. Our findings also suggest seasonality at onset of T1D. This study shows the changes of demographic and clinical characteristics of T1D in central and northeastern parts of our country over a 40 year period.

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Year:  2014        PMID: 24706426     DOI: 10.1515/jpem-2013-0320

Source DB:  PubMed          Journal:  J Pediatr Endocrinol Metab        ISSN: 0334-018X            Impact factor:   1.634


  4 in total

1.  Epidemiology of childhood-onset type 1 diabetes in Azerbaijan: Incidence, clinical features, biochemistry, and HLA-DRB1 status.

Authors:  Gunduz Ahmad Ahmadov; Denira Govender; Mark Alvin Atkinson; Rumiyya Anvar Sultanova; Amalia Abdulla Eubova; Clive Henry Wasserfall; Steven John Mack; Julie Ann Lane; Janelle Annette Noble; Graham David Ogle
Journal:  Diabetes Res Clin Pract       Date:  2018-09-13       Impact factor: 5.602

2.  National childhood diabetes program activities in Turkey.

Authors:  Şükrü Hatun
Journal:  J Clin Res Pediatr Endocrinol       Date:  2015-03

3.  The Distribution of Different Types of Diabetes in Childhood: A Single Center Experience

Authors:  Belma Haliloğlu; Saygın Abalı; Fuat Buğrul; Enes Çelik; Serpil Baş; Zeynep Atay; Tülay Güran; Serap Turan; Abdullah Bereket
Journal:  J Clin Res Pediatr Endocrinol       Date:  2017-11-24

4.  Studying the heterogeneous pathogenesis of canine diabetes: Observational characterization of an island population.

Authors:  Yeray Brito-Casillas; Carlos Melián; Angela Holder; Julia C Wiebe; Ana Navarro; Óscar Quesada-Canales; Ana B Expósito-Montesdeoca; Brian Catchpole; Ana M Wägner
Journal:  Vet Med Sci       Date:  2021-02-23
  4 in total

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