Cousen, Shaun, Hiskens, Matthew, Signal, Dana, Vangaveti, Venkat, and Hariharan, Gopakumar (2024) Incidence and presenting features of paediatric type 1 diabetes mellitus and diabetic ketoacidosis in a regional Australian health service. Journal of Paediatrics and Child Health, 60 (11). pp. 730-736.

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Abstract

Aim: To determine the incidence and presenting features of type 1 diabetes mellitus and diabetic ketoacidosis in a paediatric population serviced by a regional health service in Queensland, Australia.

Methods: All patients less than 16 years old diagnosed with type 1 diabetes mellitus between 01 January 2015 and 31 December 2021 were included in this retrospective, observational study. The electronic medical records of each patient were reviewed to collect data on demographics, presentation and ongoing diabetes care.

Results: Sixty-four paediatric patients were diagnosed with type 1 diabetes mellitus during the study period, giving an incidence of 25 cases per 100 000 person years. Half the patients presented with diabetic ketoacidosis, with 14 (22% of the total cohort) presenting in severe diabetic ketoacidosis. There was no significant increase in the incidence of type 1 diabetes mellitus or proportion of patients with diabetic ketoacidosis across the years of the study. Patients that had a delayed diagnosis had an increased likelihood of presenting with severe diabetic ketoacidosis.

Conclusion: Incidence of type 1 diabetes mellitus in the paediatric population in this regional centre in Queensland, Australia, is similar to national data. High proportions of patients presenting with diabetic ketoacidosis and severe diabetic ketoacidosis were identified in the study population, with delayed diagnosis, a risk factor for severe diabetic ketoacidosis.

Item ID:	85408
Item Type:	Article (Research - C1)
ISSN:	1440-1754
Copyright Information:	© 2024 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).
Date Deposited:	08 May 2025 03:06
FoR Codes:	32 BIOMEDICAL AND CLINICAL SCIENCES > 3202 Clinical sciences > 320208 Endocrinology @ 40% 32 BIOMEDICAL AND CLINICAL SCIENCES > 3213 Paediatrics > 321302 Infant and child health @ 60%
SEO Codes:	20 HEALTH > 2005 Specific population health (excl. Indigenous health) > 200506 Neonatal and child health @ 60% 20 HEALTH > 2002 Evaluation of health and support services > 200202 Evaluation of health outcomes @ 40%
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