ESPE Abstracts (2019) 92 P3-316

ESPE2019 Poster Category 3 Late Breaking Abstracts (69 abstracts)

Epidemiological and Socioeconomic CHANGES in the Child Population from Debut DM1 in this 21st Century

Ignacio Diez-Lopez 1,2 , Ainhoa Sarasua-Miranda 1 & Maria Isabel Lorente-Blazquez 1

1HU Araba-Peadiatric Endocrinology, Vitoria, Spain. 2Basque Country University - UPV, Vitoria, Spain

Objectives: To demographic, socio-economic and social changes in the population of children who debuted in this century with DM type 1a

Patients and Methods: Study patients with Type 1 Diabetes Mellitus from January 2000 to the present. Longitudinal study of global epidemiological, social, demographic and clinical variables and by five-year periods, focusing on the latte at Basque Country

Results: 105 patients (34% M / 66% H), with age at diagnosis of 8.7 ± 3.1 years (43% with ketoacidosis vs 57% without ketoacidosis), HbA1c average to debut of 10.9 +

The incidence declared in Euskadi is 12.9 cases / 10 5

57% are families of Spanish origin, 43% at least one parent is a foreigner. If we value the last five-year period, the proportions are 28% foreign vs. 72% foreign. The rate of foreigners <15 years in Euskadi is 8.2%, Alava 16.8%. The OR of children with DM type 1 debut is 2.55 globally (p: 0.001) and in the last five years of 4.20 (p: 0.0001). If we value this sub-population, the degree of CAD is 70% (OR 2.5 p.001 vs foreign), HbA1c average of 11.5%, a duration of symptoms of 4.8 weeks (OR 2.5 p.001 versus outsiders), 100% autoimmunity, 15% other autoimmune. 16% of families at debut had a "non-classical" family unit (separation, divorce, single parents). Similar to average family data with children in Euskadi 18%. At the end of the study and after several years of debut (average 5.8 years) the rate was increased to 28%. OR 1.80. If we study the sub-group of foreign population (43 families, 2 at debut (5% p: 0.01 with respect to outsiders)) they were in this situation. After the study, this subgroup had not modified the rate.

Conclusions: We assume that this study may have some deficiencies due to the regionalization of the sample, but demonstrates a real social change in our population with an impact on diabetic pathology. There is a more vulnerable population (by genetics, culture, customs), which in turn is increasingly numerous: the immigrant; who comes later to consult Debuts e most prevalent clinical situation worse (CAD). The barriers and language and cultural differences are added handicap in monitoring these patients. On the other hand, the debut of a child can be a cause of serious family breakdown, as evidenced by the increase in the separation rate. This makes us suggest recommending an increase in emotional support for these families

Volume 92

58th Annual ESPE

Vienna, Austria
19 Sep 2019 - 21 Sep 2019

European Society for Paediatric Endocrinology 

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