Growth of children with type 1 diabetes mellitus

Introduction. Human development depends on the correct processes of growth, differentiation and maturation, controlled by genetic, hormonal and environmental factors. A whole range of diseases have a significant impact on the disorder course of these processes. The increase of disorders will depend on the time when a pathological factor appeared as well as its duration, intensity and repetition. Diabetes type1 belongs to these pathologies, which exert their influence on the development processes. Multidirectional therapeutic measures are to ensure the child patient with type 1 diabetes proper development, including the implementation of the forecast growth. The aim. The aim of this study was evaluation of growth in children with type 1 diabetes, including: a) a growth in the time of diagnosis, b) sex, c) pubescence, d) coexisting disease, e) degree of metabolic control, f) type of insulin therapy. Material and methods. 242 patients with type 1 DM from one to ten year after diagnosis, entered the study. (The study was carried out on 242 patients from one to ten years after diagnosis of type 1 DM). All were treated with human and analog insulin using the personal insulin pump or pen type injectors. All patients were carried out thorough physical examination (with the assessment of body height and sexual development) at the time of diagnosis and during each visit. Body height was measured by a standard measurement technique using a stadiometer. The assessment of the sexual deve