الفهرس | Only 14 pages are availabe for public view |
Abstract This study aimed to measure vitamin D binding protein in children with type – one diabetes mellitus both in serum and urine, and to evaluate these levels in relation to the studied clinical , laboratory and radiological parameters . This is a case_control study included children with a previously documented diagnosis of diabetes mellitus type 1 (on the basis of presence of anti_insulin antibodies and follow up in the out patient clinc for diabetes mellitus of children’s university hospital at Minia University) . The study carried out on 50 children aged 7-15 years ( 29 males (58%) and 21 females (42%) ) ; attending the out patient clinc for diabetes mellitus of children’s university hospital , Minia University during the period from August 2011 to August 2013. The studied children were grouped into : Group 1: 30 children with diabetes mellitus type 1. Group II : 20 apparently healthy children as a control group. All children were subjected to the following: 1- Full history taking. 2- Thorough physical examination. 3- Laboratory investigations included : • Fasting and 2 hours postprandial blood glucose levels. • Glycated hemoglobin. (HbA1c). • Renal and liver function tests. • Urinary albumin (microalbumin). • Serum vitamin D binding protein. • Urinary vitamin D binding protein. 4- Radiological skeletal survey (for diabetic children only). The study showed that there were : • No significant differences between diabetic children and controls as regard age , sex , residence or similar condition but there were significant differences between diabetic children and controls as regard family history and breast feeding . • No significant differences between diabetic children and controls as regard weight, height ,head circumference or body mass index. • Highly significant differences between diabetic children and controls as regard fasting blood sugar, 2 hours postprandial blood sugar and glycated hemoglobin. • Highly significant difference between diabetic children and controls as regard hemoglobin . • No significant differences between diabetic children and controls as regard white blood cells , platelets , urea , creatinin levels and liver enzymes ( aspartate aminotransferase and alanine aminotransferase). • Highly significant difference between diabetic children and controls as regard microalbuminurea . • No significant differences between diabetic children and controls as regard calcium , phosphorus or alkaline phosphatase. |