A brief campaign to prevent diabetic ketoacidosis in children newly diagnosed with type 1 diabetes mellitus: The NO-DKA Study

Pediatric Diabetes
José G B DerraikCraig A Jefferies

Abstract

New-onset diabetic ketoacidosis (NO-DKA) is entirely preventable with early recognition of the symptoms of type 1 diabetes mellitus (T1D). In this study, we aimed to assess whether a simple and easily delivered educational campaign could reduce the risk of DKA. A poster highlighting key features of new-onset T1D was delivered once a year over 2 years to mailboxes of over 460 000 individual residential households in the Auckland region (New Zealand). In the first year, the campaign poster was also delivered to all general practices in the region. Families of all newly diagnosed cases of T1D in children answered a brief questionnaire to ascertain whether the campaign reached them. Over the 24-month period covered by this study, 132 new cases of T1D were diagnosed in children and adolescents in Auckland. There were 38 cases (28.8%) of DKA, which is similar to the average over the previous 5-year period (27.0%). The caregivers of three children reported both seeing the campaign poster and seeking medical attention as a result. None of these three children were in DKA at diagnosis; they were aged 6.3 to 9.7 years, and of New Zealand European ethnicity. A non-targeted campaign to raise awareness of diabetes symptoms in youth led only...Continue Reading

References

Feb 15, 2001·The New England Journal of Medicine·N GlaserUNKNOWN Pediatric Emergency Medicine Collaborative Research Committee of the American Academy of Pediatrics
Nov 29, 2001·Diabetologia·C Lévy-MarchalUNKNOWN EURODIAB ACE Study Group. Europe and Diabetes
Jun 24, 2003·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·N BlancN Tubiana-Rufi
Jan 23, 2004·Archives of Disease in Childhood·D B DungerUNKNOWN LWPES
Aug 17, 2006·Diabetic Medicine : a Journal of the British Diabetic Association·UNKNOWN DIAMOND Project Group
Oct 17, 2009·The Journal of Pediatrics·Simona GhettiNicole S Glaser
Mar 15, 2012·Diabetic Medicine : a Journal of the British Diabetic Association·A J LansdownUNKNOWN Brecon Group
May 9, 2012·Pediatric Diabetes·Caroline NadebaumUNKNOWN Diabetic Ketoacidosis and Brain Injury Study Group
Aug 21, 2013·The Journal of Pediatrics·Maria FritschUNKNOWN Austrian Diabetes Incidence Study Group
Sep 28, 2013·Current Diabetes Reports·Jaakko Tuomilehto
Feb 7, 2014·Diabetic Medicine : a Journal of the British Diabetic Association·C-L LuC-Y Li
Jul 27, 2015·Pediatric Clinics of North America·Craig A JefferiesWayne S Cutfield
Oct 27, 2015·Diabetic Medicine : a Journal of the British Diabetic Association·H B WuM Yu
Oct 12, 2016·Pediatric Diabetes·Eleanor R GunnUNKNOWN Starbase Diabetes Working Group, Paediatric Diabetes Service, Starship Children's Hospital, Auckland, New Zealand

❮ Previous
Next ❯

Citations

Aug 28, 2019·Global Pediatric Health·Shana Rose MencherJoanna Fishbein
Jul 11, 2021·Diabetic Medicine : a Journal of the British Diabetic Association·Sinéad M McGlacken-ByrneRakesh Amin

❮ Previous
Next ❯

Related Concepts

Related Feeds

Autoimmune Diabetes & Tolerance

Patients with type I diabetes lack insulin-producing beta cells due to the loss of immunological tolerance and autoimmune disease. Discover the latest research on targeting tolerance to prevent diabetes.