The pathway to diagnosis of type 1 diabetes in children: a questionnaire study
Juliet A Usher-Smith, Matthew J Thompson, Hannah Zhu, Stephen J Sharp, Fiona M Walter
BMJ Open | BMJ PUBLISHING GROUP | Published : 2015
OBJECTIVE: To explore the pathway to diagnosis of type 1 diabetes (T1D) in children. DESIGN: Questionnaire completed by parents. PARTICIPANTS: Parents of children aged 1 month to 16 years diagnosed with T1D within the previous 3 months. SETTING: Children and parents from 11 hospitals within the East of England. RESULTS: 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 ..View full abstract
Awarded by Royal College of General Practitioners Scientific Foundation Board
Awarded by Medical Research Council
Awarded by National Institute for Health Research
The study was funded by the Royal College of General Practitioners Scientific Foundation Board (SFB-2011-15). JAU-S was supported by a National Institute of Health Research (NIHR) Academic Clinical Fellowship and subsequently Clinical Lectureship, and FMW by an NIHR Clinician Scientist award. SJS was supported by the Medical Research Council http://www.mrc.ac.uk (Unit Programme number MC_UU_12015/1). The views expressed in this publication are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health. All researchers were independent of the funding body (although FMW subsequently became a member of the Royal College of General Practitioners Scientific Foundation Board), and the study sponsors and funder had no role in study design; data collection, analysis and interpretation of data; in the writing of the report; or decision to submit the article for publication.