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Visits at the primary clinic do not reduce ketoacidosis rates at presentation in type 1 diabetes mellitus

Acta Pediatrica Sep 18, 2020

Yona A, Haim A, Friger M, et al. - Since the rate of diabetic ketoacidosis at the time of diagnosis of type 1 diabetes remains high, researchers conducted this retrospective chart review to ascertain if visits to a primary care clinic up to a month prior to the diagnosis of new-onset diabetes affected ketoacidosis rates. The sample consisted of children who were diagnosed with type 1 diabetes from January 1, 2010, to December 31, 2014. Data collection involved demographics, age at diagnosis, number of visits to the primary care clinic during the month prior the diagnosis, relevance to diabetes and outcome of those visits and the presence of ketoacidosis at diagnosis. Of the 159 patients, 115 visited their clinic in the month preceding type 1 diabetes diagnosis.No difference in ketoacidosis rates were found between the different ethnic and socioeconomic groups. Medical encounters in the month preceding type 1 diabetes diagnosis did not decrease ketoacidosis rates in children.

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