JOURNAL
Current Issue
Journal Archive
.............................................................
December 2021 -
Volume 19, Issue 12


View this issue in pdf format

........................................................
From the Editor

........................................................

 

Knowledge around back pain and spinal disorders among Aseer patients: A cross sectional study
[Abstract]
[pdf]
Ibrahim Alburaidi, Saleh Saeed AlQahtani, Fahad mohammed saran, Zuhair Abshan Alshehri,
Rayan Dulaym Dashnan, Sultan Abdullah Al Mansour, Faisal al-Jahami, Shaker Alshehri,
Hani Fayez Ahmed Alasmari, Jamal Saad Saeed Alqahtani, Meshari Shar Alshehri
DOI: 10.5742/MEWFM.2021.94171

Environmental Triggers in Migraine patients in Riyadh: A Cross-Sectional Study
[Abstract]

[pdf]
Awad Al Harbi, Nada Hussain Alzahrani, Hanan Abdulkarim Alsuhibany, Manal Abdullah Al-Dosari, Reeman Salman Alsalman, Alanoud Abdulaziz Alkhalifah (2)
DOI: 10.5742/MEWFM.2021.94172

Job Satisfaction among Primary Health Care Workers in Buraidah, Qassim, Saudi Arabia
[Abstract]
[pdf]
Entisar AlJumail, Unaib Rabbani
DOI: 10.5742/MEWFM.2021.94173

Barriers to Compliance of Hypertensive Patients in Abha City, Saudi Arabia
[Abstract]
[pdf]
Alhussein Ali Almonawar, Ali Saeed Alasmary, Mohammed Mabkhoot Mogbel,
Hassan Mussa Almojamad
DOI: 10.5742/MEWFM.2021.94177

Disappearance of hepatitis C virus antibodies with hydroxyurea therapy in sickle cell diseases
[Abstract]
[pdf]
Mehmet Rami Helvaci, Engin Altintas, Atilla Yalcin, Orhan Ekrem Muftuoglu, Abdulrazak Abyad, Lesley Pocock
DOI: 10.5742/MEWFM.2021.94177

School Teachers' Knowledge and Attitude toward School Students with Epilepsy
[Abstract]
[pdf]
Rawan S. AlSuqair,Mohrah A. Alyabis,Marwa A. Algadi, Asmaa Attieh, Labani A. Juha,
Rama G. Alawa, Sarah G. Alghannam, Noora Z. Alsaadoon, Nervana A. Elsayed, Mona A. Alfadeel
DOI: 10.5742/MEWFM.2021.94183

Regional Covid

Increased Psychological Disorders among Pediatric Population during Covid
[Abstract]
[pdf]
Hamda Ahmed J H AlQaatri
DOI: 10.5742/MEWFM.2021.94174

Letter to the Editor
[pdf]
Mark Spigelman
DOI: 10.5742/MEWFM.2021.94192

Population and Community Studies

Patterns and determinants of Z score of Height for Age, Weight for Age and Weight for Height among Preschool children in Jeddah city, Saudi Arabia
[Abstract]
[pdf]
Fathi M. El-Gamal, Nuha Alsubhi, Shahd Badr, Nada Althaqafi, Fatima Al-Qadasi, Mariyam Hammed DOI: 10.5742/MEWFM.2021.94179

Effectiveness of Community Mental Health Service in Oman: A Pilot Study
[Abstract]
[pdf]
Saleha Al-Jadidi, Ahmed. S. Aboalatta, Iman Al-Rahbi, Maryiam Al-Harrasi,
Hamood AlRauzaiqi, Musa Abu Sabeih, Thuraiya AlGammari, Ahmed Al-Shammakhi
DOI: 10.5742/MEWFM.2021.94180

Proton Pump Inhibitors Awareness among Physicians and Pharmacists in Primary Healthcare Centres in Abha, Saudi Arabia
[Abstract]
[pdf]
Ibrahim Hasan Alasmari, Majed Mohammed AL Saleh, Majed Ali Alahmari, Sawsan Mohammad Asiri, Aljawhara Yahya Asiri
DOI: 10.5742/MEWFM.2021.94184

Knowledge, Attitude and Practice of Non-Psychiatric Physicians about Addiction
[Abstract]
[pdf]
Saeed M. Al-Ahmari, Ali A. Almusa, Ali A. Alshomrani, Waleed S.H. Al Ahmary,
Zahra S.A. Assiry, Suad M.S. Alqahtany, Ahmed Yahya Asiri, Turki Hassan Alqahtani,
Nasser Saeed Alassiri, Ossama A. Mostafa
DOI: 10.5742/MEWFM.2021.94185

Risk Factors for Diabetic Ketoacidosis among Type 1 Diabetic Children Registered at "Heraa Diabetes Center" in Makkah Al-Mokarramah City, Saudi Arabia
[Abstract]
[pdf]
Waleed K. Ballaji, Hassan M. Hadadi
DOI: 10.5742/MEWFM.2021.94186

Physicians’ Perspectives of Barriers to Insulin Initiation for Adults with Type 2 Diabetes Mellitus in Primary Health Care Centers (PHCCs), Tabouk Province - Kingdom of Saudi Arabia (KSA)
[Abstract]
[pdf]
Sameh F. Ahmed, Ghurmallah A. Alghamdi, Amerah A. Albalawi, Majed S. Alqahtani, Ibrahim M. Ghonim, Hoda M. Elhady, Shimaa A. Abdelhamid, Abderahman A. Eldesouky
DOI: 10.5742/MEWFM.2021.94189

Review

Role of SGLT2 Inhibitors and GLP-1 Analogs in Cardiovascular Risk Reduction in Type 2 Diabetes
[Abstract]
[pdf]
Mostafa Hamdy Rashed, Tonbra Deborah Dauyoumor, Sarah Corney,
Kimberly Konono, Nadia Joubert, Marwa Mohamed, Michon Sukhoo-Pertab,
Mobowa Makhomisane, Irene Njeri, Julius Mwita, Mariam Sefen,
Khadija Mohamed, Nicolette Whiley
DOI: 10.5742/MEWFM.2021.94188

Diagnostic approach to eosinophilia in children
[Abstract]
[pdf]
Raghba Shasho
DOI: 10.5742/MEWFM.2021.94190

Original Clinical Research

Machine Learning in Otorhinolaryngology, Head and Neck Surgery and its applications in diagnosis and management: Undergraduates Perception toward New Era
[Abstract]
[pdf]
Saleh Abdulmoneim Alomary, Belal Abdullah Alorainy , Naif Saleh Albargan, Fahad Z. Alotaibi
Feras Alkholaiwi
DOI: 10.5742/MEWFM.2021.94191

Middle East Quality Improvement Program
(MEQUIP QI&CPD)


Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

.........................................................

Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email
: lesleypocock@mediworld.com.au
.........................................................

Editorial Enquiries -
abyad@cyberia.net.lb
.........................................................

Advertising Enquiries -
lesleypocock@mediworld.com.au
.........................................................

While all efforts have been made to ensure the accuracy of the information in this journal, opinions expressed are those of the authors and do not necessarily reflect the views of The Publishers, Editor or the Editorial Board. The publishers, Editor and Editorial Board cannot be held responsible for errors or any consequences arising from the use of information contained in this journal; or the views and opinions expressed. Publication of any advertisements does not constitute any endorsement by the Publishers and Editors of the product advertised.

The contents of this journal are copyright. Apart from any fair dealing for purposes of private study, research, criticism or review, as permitted under the Australian Copyright Act, no part of this program may be reproduced without the permission of the publisher.

 

 

 

 

 

 

 


 


 

 


 

 

 

   
December 2021 - Volume 11, Issue 12

Risk Factors for Diabetic Ketoacidosis among Type 1 Diabetic Children Registered at “Heraa Diabetes Center” in Makkah Al-Mokarramah City, Saudi Arabia

Family Medicine Residents, The Joint Program of Family Medicine in Makkah Al-Mokarramah,
Saudi Arabia

Corresponding Author:
Dr. Waleed K. Ballaji
Email: Wk_b@hotmail.com

Received: October 2021; Accepted: November 2021; Published: December 1, 2021.
Citation: Waleed K. Ballaji, Hassan M. Hadadi. Risk Factors for Diabetic Ketoacidosis among Type 1 Diabetic Children Registered at “Heraa Diabetes Center” in Makkah Al-Mokarramah City, Saudi Arabia. World Family Medicine. 2021; 19(12): 95-104 DOI: 10.5742/MEWFM.2021.94186

Abstract


Aim of Study: To assess risk factors associated with DKA among T1DM children registered at “Heraa Diabetes Center”, Makkah Al-Mokarramah City, Saudi Arabia.

Patients and Methods: A retrospective hospital-based, case-control research design was followed and included 375 diabetic patients aged less than 15 years. The “Study Group” included 125 children who had a past history of diabetic ketoacidosis (DKA Group), while the “Control Group” comprised 250 diabetic children who did not have past history of DKA. A data collection sheet was designed by the researchers.

Results: There was significantly more positive family history in the DKA group than the control group (78.4% and 68%, respectively, p=0.036). The mothers were the main person who injects the child. Differences between both study groups according to the person who injects the child was statistically significant (p=0.029). DKA occurred more than once in 59.2% of diabetic children, and in 46.4% of children with over-activity. The main presenting symptoms of DKA were polyuria, thirst and vomiting. The main causes and triggering factors were eating too many sweets (65.6%), missing blood sugar monitoring (57.6%), omitting the insulin dose (22.4%), or infection (12.8%). Children in the control group were significantly more compliant than those in the DKA group regarding daily measurement of blood sugar (82.8% and 71.2%, respectively, p=0.009), timely receiving treatment (96% and 82.4%, respectively, p<0.001), following a healthy diet (79.6% and 65.6%, respectively, p=0.003), and receiving health education (95.2% and 88%, respectively, p=0.011).

Conclusions: Risk factors for DKA include positive family history of diabetes, and less educated or employed mothers, but its incidence is lower among children of parents with health-related jobs. It can be triggered by over-activity. It is caused by eating too many sweets, missing blood sugar monitoring, omitting the insulin dose, or infection. Noncompliance is associated with higher incidence of DKA.

Recommendations: All parents of diabetic children should receive health education and be trained about management of diabetes, compliance to diabetes management, continuous monitoring of glucose levels, and early manifestations of DKA.

Key Words: Diabetic ketoacidosis, Type 1 diabetes, Children, Risk factors, Compliance,
Saudi Arabia.







 


 

.................................................................................................................