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Titre du Document
Glucemia y cetonemia en diabéticos tipo 1 en el ambiente controlado de una colonia de verano
Blood glucose and ketone monitoring in type 1 diabetic patients in the controlled environment of a summer camp
Auteur(s)
LOPEZ SIGUERO J. P. ; MOLINA J. A. Moreno ; BORRAS PEREZ M. V. ; ...
Résumé
Introduction Control of blood ketone levels and glycemia is advisable in certain situations in type 1 diabetic children and adolescents. The aims of this study were to assess the relationship between glycemia, ketonemia and ketonuria in children and adolescents in a summer camp under different conditions (fasting, casual hyperglycemia, moderate physical exercise) and to assess the utility of ketonemia determinations in diabetes control during this time. Patients and methods There were 47 participants (25 boys and 22 girls), with a mean HbA1c determination prior to enrollment of 7.7 ± 1.5 %. The mean age was 11.7 ± 1.8 years and the mean time from onset of diabetes was 3.0 ± 2.7 years. The mean body mass index was 18.3 ± 3.9 kg/m2 (SDS -0.16 ± 0.44), the mean insulin dose was 0.8 ± 0.4 U/kg/ day, and the number of doses per day was between 2 and 4 (median = 3). Blood glucose and ketones (both measured with the Optium® system, Abbott Diabetes Care) and urine ketones (Ketodiastix®, Bayer) were determined in different situations. Statistical analysis was performed with the SPSS 11.5 program. Results Ketonemia results 45 minutes before and after moderate physical activity showed no significant increase in ketones (0.1 ± 0.03 vs 0.23 ± 0.07 mmol/l, ns). Preprandial blood ketone levels of ≥ 0.5 mmol/l were found in 17.02 % of participants. Ketonemia was resolved during the first hour in all participants except one, in whom ketonemia resolved in 3 hours. Blood keton
Editeur
Doyma
Identifiant
ISSN : 1695-4033
Source
Anales de pediatria (2003. Ed. impresa) A. 2007, vol. 66, n° 4, [335, 387-392 [7 p.]] [bibl. : 12 ref.]
Langue
Espagnol
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