000			02954cam a2200349 a 4500
003			EG-GiCUC
005			20250223031827.0
008			171017s2017 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.28.M.Sc.2017.Om.I
100	0		_aOmar Ahmad Hussein Mahmoud
245	1	0	_aInsulin requirements and glycemic control in young children with diabetes / _cOmar Ahmad Hussein Mahmoud ; Supervised Mona Mamdouh Hassan , Noha Arafa Mohammad , Marise Antoun Fahmy
246	1	5	_aالاحتياجات من الانسولين و مستوى ضبط السكر بالدم عند الاطفال الذين لديهم مرض البول السكرى
260			_aCairo : _bOmar Ahmad Hussein Mahmoud , _c2017
300			_a123 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Pediatrics
520			_aBackground: Managing T1D in young children is challenging from medical and psychosocial perspectives. YC-T1D have high insulin sensitivity and nocturnal hypoglycemia is common. Young children have unique developmental challenges including normative dependence upon parental caretaking and labile self-regulation of behavior and emotions, eating , sleep and physical activity that may complicate T1D care. Objective: The aim of the study was to assess the characteristics of insulin therapy regarding type, dose and frequency, as well as degree of glycemic control achieved in young children with diabetes. Methods: Sixty-nine patients with type 1 DM, aged less than five years, following up at diabetes endocrine and metabolism unit (DEMPU), specialized pediatric hospital, Faculty of medicine, Cairo University in the period from March 2015 to June 2016 were recruited in the study. Results: the present study showed that diabetic ketoacidosis necessitating ICU management at diagnosis was present in 49 patients (71%), and hyperglycemia without ketosis in 20 patients (29%). 39/60 cases (65%) with mean HbA1c level {u2265}7.5%. more favourable control in terms of mean HbA1c level was noticed in those using NPH than those on Long acting analogue (8.0±1.3 vs 9.2±1.5, p=0.03) and in cases on regular short acting insulin than in cases on ultra short insulin (7.7±1.3 vs 8.5±1.3%,p=0.05). Ketoacidosis /hyperglycemia was responsible for (76.5%) of hospital readmissions; while hypoglycemia was a less frequent cause for readmission to hospital being reported in 20.6%
530			_aIssued also as CD
653		4	_aGlycemic control
653		4	_aInsulin requirements
653		4	_aYoung children
700	0		_aMarise Antoun Fahmy , _eSupervisor
700	0		_aMona Mamdouh Hassan , _eSupervisor
700	0		_aNoha Arafa Mohammad , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aSamia _eCataloger
942			_2ddc _cTH
999			_c62998 _d62998