소아 당뇨병 환아에서 야뇨증의 임상적 특징 |
김명욱, 김세윤, 최정연, 조민현, 고철우, 김흥식, 박용훈 |
1영남대학교 의과대학 소아청소년과 2영남대학교 의과대학 소아청소년과 3영남대학교 의과대학 소아청소년과 4경북대학교 의과대학 소아청소년과 5경북대학교 의과대학 소아청소년과 6계명대학교 의과대학 소아청소년과 7영남대학교 의과대학 소아청소년과 |
Clinical Features of Enuresis in Children with Diabetes Mellitus |
Myoung-Uk Kim, Sae-Yoon Kim, Jung-Youn Choi, Min-Hyun Cho, Cheol-Woo Ko, Heung-Sik Kim, Yong-Hoon Park |
1Department of Pediatrics, Yeungnam University College of Medicine 2Department of Pediatrics, Yeungnam University College of Medicine 3Department of Pediatrics, Yeungnam University College of Medicine 4Department of Pediatrics, Kyungpook National University School of Medicine 5Department of Pediatrics, Kyungpook National University School of Medicine 6Department of Pediatrics, Kemyung University School of Medicine 7Department of Pediatrics, Yeungnam University College of Medicine |
Received: March 28, 2010; Revised: September 17, 2010. Accepted: September 17, 2010. |
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ABSTRACT |
PURPOSE: Diabetes mellitus (DM) is known as one of the common causes of secondary enuresis in children. However, enuresis in diabetic children is overlooked only as a symptom of polyuria due to hyperglycemia. We evaluated the prevalence of nocturnal enuresis in children with diabetes mellitus in this paper. METHODS: Among children with diabetes in three hospitals in Daegu area, 117 agreed to 'Tele research by means of a questionnaire'. RESULTS: Diabetic patients were divided into two groups: Nocturnal enuresis and non-nocturnal enuresis group. thirty-two of 117 (27.0%) patients were in enuresis group, with more daytime urination than non-nocturnal enuresis group (4.2+/-1.6/3.6+/-1.2 times, P =0.016). HbA1c at diagnosis was 12.0+/-2.3%/12.0+/-2.5%, and at follow-up 9.3+/-2.3%/8.3+/-2.3% (P =0.042). Insulin was administered at 1.1+/-0.5/1.1+/-0.4 units/kg/day. Ten children of enuresis (31.2%) group were monosymptomatic (MNE) and 22 (68.8%) children were non-monosymptomatic enuresis (non-MNE). Fourteen (43.8%) of enuresis group had persistent symptoms, with 5 MNE and 9 non-MNE each. HbA1c at diagnosis was 11.1+/-2.5, 12.4+/-2.1, higher in non-MNE (P =0.144). Average arousal during sleep was step 3.3+/-1.2, 2.5+/-1.0, higher in improved enuresis group (P =0.059). CONCLUSION: Nocturnal enuresis among DM patients is underestimated. However, considering psychological and social effects of enuresis in children, extensive and long-term studies are needed in the future to clarify relationship between prevalence and DM control. |
Key words:
Enuresis | Diabetes mellitus | Pediatric |
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