ESPE Abstracts (2014) 82 P-D-3-2-746

Current Status of Diabetes Management, Glycemic Control and Complications in Children and Adolescents with Diabetes: a Registry-Based Study in Egypt: Where Do We Stand Now? and Where Do We Go from Here?

Nancy Elbarbary, Mona Elsamahy & Hala Elmorsi


Ain Shams University, Cairo, Egypt


Background: Given that diabetes is an extremely common disorder in Egypt, the Diabetes Registry was designed by Pediatric Diabetes Clinic, Ain Shams University Hospital in the year 2010.

Aim: Identify risk factors related to poor glycemic control and to provide data to health professionals for use in planning, evaluation, and optimizing diabetes care in those patients.

Subjects and methods: The registry was designed to provide information on current clinical status, metabolic control, acute and long-term complications, presence of concomitant autoimmune diseases, and psychological disturbances in patients.

Results: Mean age of patients was 13.29±5.05 years, mean duration of diabetes was 6.37±3.64 years, mean HbA1c was 8.81±4.59%, and 71% had poor glycemic control. Acute complications included ketoacidosis in 19.7% and severe hypoglycemia in 2.83%. Chronic complications including peripheral neuropathy, retinopathy, and persistent microalbuminuria were present in 6.33, 1.83, and 6.83% respectively. The majority (97.17%) of patients are on intensive regimen of therapy. Patients with poor glycemic control had higher disease duration, DKA frequency, and microvascular complications. However, regular education lecture attendance and regular SMBG were found to have better glycemic control.

Conclusions: These data from registry indicate that although the majority of the patients were on intensive insulin therapy, poor glycemic control was common, and chronic complications were encountered. These findings will provide potential avenues to improve quality of care and also could be the first step in the development of a national registry system for diabetes in Egypt.

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