A diabetes awareness campaign prevents diabetic ketoacidosis in children at their initial presentation with type 1 diabetes

Objective To evaluate the effect of a diabetes awareness campaign on the incidence of diabetic ketoacidosis (DKA) at the first presentation of type 1 diabetes in children (0–18 yr). Methods This study was a controlled population intervention study with a 2‐yr baseline period and a 2‐yr intervention...

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Bibliographic Details
Published in:Pediatric diabetes 2012-12, Vol.13 (8), p.647-651
Main Authors: King, Bruce R, Howard, Neville J, Verge, Charles F, Jack, Michelle M, Govind, Natalie, Jameson, Karen, Middlehurst, Angela, Jackson, Lilian, Morrison, Melinda, Bandara, DM Wajira S
Format: Article
Language:English
Subjects:
Adolescent
Australia - epidemiology
Blood Glucose - analysis
Child
Child, Preschool
Diabetes Mellitus, Type 1 - blood
Diabetes Mellitus, Type 1 - complications
Diabetes Mellitus, Type 1 - diagnosis
Diabetic Ketoacidosis - blood
Diabetic Ketoacidosis - epidemiology
Diabetic Ketoacidosis - prevention & control
Female
Health Knowledge, Attitudes, Practice
Humans
Hydrogen-Ion Concentration
Infant
Infant, Newborn
ketoacidosis
Male
Patient Education as Topic - methods
pediatrics
Physicians' Offices
primary prevention
Schools
type 1 diabetes
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Summary:Objective To evaluate the effect of a diabetes awareness campaign on the incidence of diabetic ketoacidosis (DKA) at the first presentation of type 1 diabetes in children (0–18 yr). Methods This study was a controlled population intervention study with a 2‐yr baseline period and a 2‐yr intervention period. Data were collected on all children presenting with their initial diagnosis of type 1 diabetes [pH, bicarbonate, base excess, blood glucose level (BGL), urea, and creatinine] at Gosford, Newcastle, and Sydney (Sydney Children's Hospital and Royal North Shore Hospital). During the intervention period, diabetes education occurred in the intervention region (Gosford). Child care centers, schools, and doctor's offices were offered education and posters about the symptoms of type 1 diabetes. Doctor's offices were given glucose and ketone testing equipment. The control regions (Newcastle and Sydney) did not receive any educational intervention or test equipment. DKA was defined as pH < 7.3 or bicarbonate < 15 mmol/L. Results In Gosford, the proportion of children presenting in DKA decreased from 37.5% (15/40) during the 2‐yr baseline period to 13.8% (4/29) during the 2‐yr intervention (p 
ISSN:1399-543X
1399-5448
DOI:10.1111/j.1399-5448.2012.00896.x