Glycemic Control of Children and Adolescents With Type 1 Diabetes Outpatient Follow-Up

Palavras-chave: diabetes mellitus tipo 1, criança, adolescente, Hemoglobina A Glicosilada.

Keywords: Type 1 Diabetes Mellitus, Child, Adolescent, Glycosylated Hemoglobin A.

resumo

O objetivo foi verificar o controle glicêmico dos pacientes diabéticos atendidos na Unidade de Endocrinologia Pediátrica do Hospital de Clínicas da Universidade Federal do Paraná. Foram avaliados retrospectivamente 69 prontuários. Nove pacientes foram excluídos do estudo devido à falta de informações. A idade média foi de 13 ± 2,7 anos (61,67% do sexo feminino), a duração do DM1 foi de 6,9 ± 3,3 anos e a média de hemoglobina, de 10,56 ± 2,6%. Apenas 13,33% dos pacientes apresentaram controle glicêmico adequado. Houve associação do controle glicêmico com a idade, não havendo associação com o tempo de diagnóstico e sexo. Os pacientes com idade igual ou maior a 13 anos foram 14,4 vezes mais propensos ao controle glicêmico inadequado. A maior parte das crianças e adolescentes estudados apresentou controle glicêmico inadequado.

abstract

The objetive was to examine the glycaemic control of diabetic patients under treatment at the Infant Pediatric Endocrinology Unit of the Clinical Hospital, Federal University of Paraná. It was a retrospective study of medicals documents data of 69 patients. Nine patients was excluded from the study because of missing information on the records. Patients average age was 13 ± 2,7 years (61,67% females), the disease duration was 6,9 ± 3,3 years and the average of glycosylated hemoglobin was 10,56 ± 2,6%. Only 13,33% patients had adequate glycaemic control. Glycaemic control was associated with age. There wasn’t association with the disease duration or gender. Patients aged 13 years old or more were 14.4 times more likely of having worse glycemic control. Most children and adolescents studied had poor glycemic control.