Adıyaman İlindeki Diyabetik Çocukların Epidemiyolojik Özellikleri

Yıl 2019, Cilt: 17 Sayı: 1, 1 - 16, 01.04.2019

Fatih İşleyen , Semih Bolu

Öz

GİRİŞ ve AMAÇ: Retrospektif olarak planlanan çalışma ile diyabetes mellitus (DM) tanısı alan 0-18 yaş arası hastaların klinik ve laboratuvar bulguları ile epidemiyolojik özelliklerinin değerlendirilmesi amaçlanmıştır. YÖNTEM ve GEREÇLER: Çalışmaya Ekim 2016 ile Ağustos 2018 tarihleri arasında Adıyaman Eğitim ve Araştırma Hastanesi Çocuk Endokrinolojisi Kliniği’nde yeni DM tanısı konulan 78 olgu alındı. Hastalar, tanı yaşına ve diyabet türüne [Neonatal DM, Tip 1 DM, Tip 2 DM, Gençlikte Ortaya Çıkan Erişkin Tip Diyabet (MODY)] göre dört gruba ayrıldı.

BULGULAR: Diyabet tipleri açısından hastalar incelendiğinde 45 hastada Tip 1DM (%57,7), 13 hastada Tip 2DM (%16,7), 15 hastada MODY tip 2 (%19,2), üç hastada MODY tip 3 (%3,9) ve 2 hastada neonatal DM (%2,5) tespit edildi. Tip 1 DM’nin görülme yaşının sırasıyla 10-14 yaş (%35,6) ve 5-9 yaş (%31,1) grubunda zirve yaptığı görüldü. Cinsiyet açısından gruplar karşılaştırıldığında 0-4 yaş ile 5-9 yaş grubunda kız cinsiyet, 10-14 yaş ile 15-17 yaş grubunda erkek cinsiyet üstünlüğü mevcuttu. Tip 2DM’li hastaların 9’u (%69,2) kız, 4’ü (%30,8) erkek ve tanı anındaki yaş ortalaması 13,2±2,4 yıl idi. MODY olgularının 15’ini (%83,3) GCK-MODY ve 3’ünü (%16,7) HNF1A-MODY olgularının oluşturduğu görüldü.

TARTIŞMA ve SONUÇ: Çalışmamızda Adıyaman ilindeki T1DM’li çocukların en sık 10-14 yaş arasında tanı aldığını ve hastalığın 10 yaş altında kızlarda, 10 yaş üzerinde ise erkeklerde daha sık ortaya çıktığını saptadık. T2DM’li çocukların ise ortalama 13,2 yaşında tanı aldığını ve bu hastalarda kız cinsiyet üstünlüğü olduğunu belirledik. Bölgemizde tüm diyabet nedenleri içinde monogenik diyabetin, özellikle de GCK-MODY’nin önemli bir yer işgal ettiğini gösterdik.

Anahtar Kelimeler

Diyabetes mellitus, Monogenik diyabet, Epidemiyolojik

The Epidemiological Characteristics of Diabetic Children in the Province of Adıyaman

Öz

Kaynakça

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