Newly diagnosed type 1 Diabetes Mellitus in Dhi-qar city(IRAQ) sociodemographic study

Abstract

Objective : A comprehensive analytical study for representative sample of newly discovered type 1 diabetic patient aimed to assess the epidemiology and sociodemography of newly diagnosed type one DM in Dhi-qar province(southern of Iraq) in children <15 yrs of age .The present study also aimed to measure the educational level among those newly diagnosed T1DM through measuring the level of HbA1C and duration of illness before first presentation. Methods :prospective cross sectional analytical study extended from February 2011 till December 2012 included 103 patients all of them newly diagnosed type one DM collected from diabetic center in Dhi-qar province Result : there were 103 patients diagnosed for the first time during study period ,61 patients were males and 42 patients were females , 40% of patients presented on February &September .family history was positive only in 47 cases .breast feeding found only in 36%vs 62%in bottle feed patients.HbA1C level was high >8% for all cases .males patients showed significant low serum sugar than those in females patients .30%of rural areas resident presented with very high serum sugar >500mg /dl vs 3% in urban area.68% of patients presented with high BMI vs 25% presented with low BMI. Conclusion ,HbA1C is good indicator for poor control and delayed presentation .Breast feeding is a good protective mechanism against T1DM. Rural area resident and female sex presented with high serum sugar at time of presentation .