Review Article
Glycemic Assessment of Type I Diabetic Children in the Dakar Region, Senegal
Niang Babacar
,
Mbaye Aminata*,
Boiro Djibril,
Sow Amadou,
Ndiaye Oulimata,
Dina Obambi,
Ly Fatou,
Sy Khady,
Mbaye Maimouna Ndour,
Ndiaye Ousmane
Issue:
Volume 11, Issue 1, March 2025
Pages:
1-6
Received:
26 November 2024
Accepted:
12 December 2024
Published:
16 January 2025
DOI:
10.11648/j.ajp.20251101.11
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Views:
Abstract: Introduction: Type 1 diabetes (T1D) accounts for more than 90% of all cases of diabetes in children and adolescents. The aim of this study is to determine the level of glycemic control and to analyze the factors of poor control. Methodology: This is a prospective study conducted in five (5) pediatric departments in Dakar over a period of 6 months and including all children aged 0 to 18 years with type 1 diabetes. Glycemic balance was assessed with glycated hemoglobin (HbA1c). Results: During the study, two hundred (200) patients were included. The mean age at diagnosis was 12.15 years ± 3.98 years [range 1.00 to 18.00 years]. Ketoacidosis was the main circumstance of discovery in 67.00% (134 individuals). The types of insulin used were human in 64% of cases. Among the patients who received therapeutic education (22), 39.33% were not educated by a qualified provider. There was a glycemic imbalance in 70.5% of patients. After an analytical study, there was no statistically significant difference between HbA1c and gender, geographical origin, socioeconomic and educational level of parents, duration of diabetes progression, physical activity and the therapeutic protocol used. However, therapeutic education had a positive influence on HbA1c. Conclusion: The glycemic control of diabetic patients in the Dakar region is very insufficient. This would be due to several factors including the insufficiency of therapeutic education. It is important to train providers in this fundamental aspect of diabetes management.
Abstract: Introduction: Type 1 diabetes (T1D) accounts for more than 90% of all cases of diabetes in children and adolescents. The aim of this study is to determine the level of glycemic control and to analyze the factors of poor control. Methodology: This is a prospective study conducted in five (5) pediatric departments in Dakar over a period of 6 months a...
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