The pathway to diagnosis of type 1 diabetes in children: a questionnaire study

BMJ Open
Juliet A Usher-SmithFiona M Walter

Abstract

To explore the pathway to diagnosis of type 1 diabetes (T1D) in children. Questionnaire completed by parents. Parents of children aged 1 month to 16 years diagnosed with T1D within the previous 3 months. Children and parents from 11 hospitals within the East of England. 88/164 (54%) invited families returned the questionnaire. Children had mean±SD age of 9.41±4.5 years. 35 (39.8%) presented with diabetic ketoacidosis at diagnosis. The most common symptoms were polydipsia (97.7%), polyuria (83.9%), tiredness (75.9%), nocturia (73.6%) and weight loss (64.4%) and all children presented with at least one of those symptoms. The time from symptom onset to diagnosis ranged from 2 to 315 days (median 25 days). Most of this was the appraisal interval from symptom onset until perceiving the need to seek medical advice. Access to healthcare was good but one in five children presenting to primary care were not diagnosed at first encounter, most commonly due to waiting for fasting blood tests or alternative diagnoses. Children diagnosed at first consultation had a shorter duration of symptoms (p=0.022) and children whose parents suspected the diagnosis were 1.3 times more likely (relative risk (RR) 1.3, 95% CI 1.02 to 1.67) to be diagnosed ...Continue Reading

References

Jul 24, 1976·British Medical Journal·D V HamiltonJ Lister
Mar 1, 1995·The British Journal of Social Psychology·B L Andersen, J T Cacioppo
Apr 12, 2000·Journal of Advanced Nursing·S J Neill
Mar 15, 2001·Lancet·M Dixon-WoodsD Heney
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
Dec 6, 2003·Pediatric Diabetes·Andreas NeuUNKNOWN DIARY Group Baden-Wuerttemberg
Jun 21, 2005·Pediatric Diabetes·Edna Frances RocheHilary Hoey
Apr 18, 2006·The Journal of Pediatrics·Maryanne QuinnJoseph I Wolfsdorf
Feb 28, 2007·Acta Radiologica·A Caruso LombardiM Mughetti
Dec 8, 2009·The Journal of Pediatrics·Helen BuiDenis Daneman
Jun 16, 2010·Journal of Paediatrics and Child Health·Ying XinLi Hua Zhang
Oct 20, 2011·Journal of Health Services Research & Policy·Fiona WalterJon Emery
Apr 28, 2012·British Journal of Health Psychology·S E ScottJ Emery
Feb 8, 2013·Diabetologia·S FredheimUNKNOWN Danish Society for Diabetes in Childhood and Adolescence
Jun 6, 2014·Diabetes·Jean M LawrenceUNKNOWN SEARCH for Diabetes in Youth Study Group

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Citations

Oct 12, 2016·Pediatric Diabetes·Eleanor R GunnUNKNOWN Starbase Diabetes Working Group, Paediatric Diabetes Service, Starship Children's Hospital, Auckland, New Zealand
Oct 26, 2016·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·John BusbyWilliam Hollingworth
Apr 26, 2017·The Nurse Practitioner·Melissa A Glassford
Apr 16, 2021·Endocrinology, Diabetes & Metabolism·Kaleb T BogaleMatthew L Silvis

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