| Clinical Study of Juvenile Diabetes Mellitus. |
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Keun chull Choi, Seok ku Kim, Chul Lee, Myung ho Lee |
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Department of Pediatrics, Presbyterian Medical Center, Jeon-ju, Korea. |
| 소아 당뇨병 9례에 대한 임상적 고찰 |
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최근철, 김석구, 이 철, 이명호 |
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전주예수병원 소아과 |
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| Abstract |
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We have observed 9 cases of juvenile diabetes mellitus who were admitted to Pediatrics Department of Presbyterian Medical Center in Jeon-ju, during period of 7 years and 2 months from Jan, 1974 to Mar, 1981. The following results were obtained. 1) Incidence of juvenile diabetes mellitus was 0.088% of all patients who were admitted to Pediatric Department ward during period of 7 years and 2 months. 2) The highest age incidence was in the age group of 8~9years, and male to female ratio was 7:2 with male preponderance, and seasonal distribution showed high incidence in winter. 3) Cardinal symptoms were polyuria (8case), polydipsia (8case), and general weakness (6 case), weight loss (5 case), polyphaia(3 case), abdominal pain and nausea vomiting (2case), and On examination there were signs of dehydration (6 case), emaciation(3case), abdominal rigidity (2case) in order of frequency. 4) The mean blood glucose level was 468 mg%, and leukocytosis was found in 4 cases of the 9 at admission. 5) Ketoacidosis was noted in 4 cases and the blood glucose level ranged from 417 mg% to 750mg%, and patients received treatment with continuous infusion of low dose insulin. 6) The average duration of hospitalization was 12 days and dosage of insulin needed was 0.8~1.9unit/kg/day. Only one case was followed up and the patients A1c Hgb level was within normal limit. |
| Key Words:
Juvenile diabetes mellitus, clinical study |
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