Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
1999-9-14
pubmed:abstractText
Results are presented of diabetes complication screening in children and adolescents aged 6-20 years. Their diabetes duration was 0.02-18.4 yr and median HbA1c over the preceding 36 months was 8.4% [IQR 7.8-9.3]. Gradable retinal photographs were obtained in 937: 110 less than 11 years (< 11 yr Gp). Albumin excretion rate (AER) was obtained from 3 timed overnight urine collections in 691: 100 in < 11 yr Gp. Early retinopathy was found in 27% (9% in < 11 yr Gp). Microalbuminuria (AER > or = 20 micrograms/min) was found in 4%. Significant individual risk factors for both complications were higher blood pressure, cholesterol, HbA1c, pubertal staging, older age and longer diabetes duration. Using multiple logistic regression, significant risk factors for retinopathy were longer duration and older age and in addition higher HbA1c. Diabetes complication screening detected early subclinical disease in children and adolescents who may benefit from lowering blood pressure and improving metabolic control. Screening should commence after five years of duration in young children, and after two years of duration in adolescents.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0334-018X
pubmed:author
pubmed:issnType
Print
pubmed:volume
12
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
185-92
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:10392365-Adolescent, pubmed-meshheading:10392365-Adult, pubmed-meshheading:10392365-Age Factors, pubmed-meshheading:10392365-Albuminuria, pubmed-meshheading:10392365-Blood Pressure, pubmed-meshheading:10392365-Child, pubmed-meshheading:10392365-Cholesterol, pubmed-meshheading:10392365-Diabetes Complications, pubmed-meshheading:10392365-Diabetes Mellitus, pubmed-meshheading:10392365-Diabetic Retinopathy, pubmed-meshheading:10392365-Hemoglobin A, Glycosylated, pubmed-meshheading:10392365-Humans, pubmed-meshheading:10392365-Logistic Models, pubmed-meshheading:10392365-Mass Screening, pubmed-meshheading:10392365-Odds Ratio, pubmed-meshheading:10392365-Ophthalmoscopy, pubmed-meshheading:10392365-Prognosis, pubmed-meshheading:10392365-Puberty, pubmed-meshheading:10392365-Risk Factors
pubmed:articleTitle
Diabetes complication screening in 937 children and adolescents.
pubmed:affiliation
Ray Williams Institute of Paediatric Endocrinology, Diabetes and Metabolism, Royal Alexandra Hospital for Children, Westmead, NSW, Australia.
pubmed:publicationType
Journal Article