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PROBLEM CHART

A boy, 13 years old


Perinatal history:
Mother with gestational
diabetes
History of polyphagia,
polydipsia, polyuria
Hyperglycemia 411 mg/dl
High HbA1c :12,1%
Low C-peptide : 0,7 ng/ml
(Level of Evidence 1)

Perinatal history:
Mother with bad obstetric
history (3 times abortus)
Pre-eclampsia
Birth ashyxia
Neonatal seizure, febrile seizure

Autoantibody test:
Islet cell autoantibodies
(ICAs)
(Level of Evidence 1)

Type 1 DM
Dd/ - Type 2 DM
- MODY

CP spastic diplegia with


contractures of ankle
and genu joints
Global developmental
delayed

Monitoring
Pharmacotherapy: insulin
Nutrition:
Diet 1980 kcal, 33 gr protein
Exercise
Education
Monitoring glycemic control

Glycemic/ metabolic controls


(Blood glucose, HbA1c, lipid
profile)

Acute complication of DM
(KAD, hypoglicemia)

Long-term complication of
DM (macrovascular and
microvascular complication)

Growth and development

Tendon lengthening
Physiotherapy
Occupational therapy
Speech therapy
Physicological support

Prognosis
Quo ad vitam : dubia
Quo ad sanam : ad malam
Quo ad fungsionam : dubia ad malam

Delayed on four sectors of


development
Spasticity
Contractures ankle and genu
joints
RISK FACTORS AND BASIC
DATA

CARE COMPASSION EDUCATION + Family counceling

DIAGNOSIS AND COMPLICATION

INTERVENTION & THERAPHY

PROGNOSIS

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