ArticleFrontiers in endocrinology2021
Is Misdiagnosis of Type 1 Diabetes Mellitus in Malaysian Children a Common Phenomenon?
Article in Frontiers in endocrinology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 9 citations in OpenAlex.
- Ketoacidosis at diagnosis of diabetes mellitus type 1: impact of the COVID-19 pandemic.Revista da Associacao Medica Brasileira (1992) · 2026Observational
- Predictors and Trends of Diabetic Ketoacidosis at Diagnosis of Type 1 Diabetes Mellitus in Malaysian ChildrenJournal of clinical research in pediatric endocrinology · 2024Article
- Pediatric Diabetes and Diabetic Ketoacidosis After COVID-19: Challenges Faced and Lessons Learnt.Pediatric health, medicine and therapeutics · 2023Review
- The Current Situation Regarding Long-Acting Insulin Analogues Including Biosimilars Among African, Asian, European, and South American Countries; Findings and Implications for the Future.Frontiers in public health · 2021Article
- Delayed Management of Insulin-Dependent Diabetes Mellitus in Children.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersArticle
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Children with Type 1 diabetes (T1DM) commonly present in diabetic ketoacidosis (DKA) at initial diagnosis. This is likely due to several factors, one of which includes the propensity for T1DM to be misdiagnosed. The prevalence of misdiagnosis has been reported in non-Asian children with T1DM but not in Asian cohorts. Aim: To report the rate of misdiagnosis and its associated risk factors in Malaysian children and adolescents with T1DM. Methods: A retrospective analysis of children with T1DM below 18 years of age over a 10 year period was conducted. Results: The cohort included 119 children (53.8% female) with a mean age 8.1 SD Conclusion: Misdiagnosis of T1DM occurs more frequently in Malaysian children <5 years of age. Misdiagnosed cases are at a higher risk of presenting in DKA with increased risk of ICU admission and more likely to have had prior HCP contact. Awareness of T1DM amongst healthcare professionals is crucial for early identification, prevention of DKA and reducing rates of misdiagnosis.
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