What is it about?
This is the first study reporting the nationwide incidence of T1DM in youth in Serbia, which is on the rise, with an average yearly increase of 5.9%. Worryingly high prevalence of DKA (35.1%) at the time of T1DM diagnosis was observed, with the highest frequency of DKA in children aged < 5 years (47.2%).
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Why is it important?
Knowing regional T1DM incidence is of paramount importance for resource allocation and healthcare services provision. Also, DKA is the leading cause of acute mortality in youth with T1DM, and public health preventive educational measures could improve early diagnosis and reduce the frequency and severity of DKA at presentation.
Perspectives
In order to make the maximum impact in decreasing the number of children presenting with DKA, the focus of public health preventive measures should be directed towards the preschoolers, considering the highest frequency and severity of DKA observed in this age group.
Rade Vukovic
Read the Original
This page is a summary of: First report on the nationwide incidence of type 1 diabetes and ketoacidosis at onset in children in Serbia: a multicenter study, European Journal of Pediatrics, May 2018, Springer Science + Business Media,
DOI: 10.1007/s00431-018-3172-4.
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