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  1. Monitoring for retinopathy in children and adolescents with type 1 diabetes.

    Article, Communication - En anglais

    International Novo Nordisk Symposium on Diabetes in Chilhood and Adolescence. Copenhagen, DNK, 1997/11/07.

    In children with an average diabetes onset at 11 y of age, the first retinal changes can be expected after a median diabetes duration of 9 y. while the median time until clinically relevant background retinopathy is 14 y. Periodic examinations of the retinal status become necessary with the onset of puberty or after 5 y of diabetes duration.

    Only sensitive methods should be used for retinopathy screening : the minimum recommended standard is a stereoscopic slit-lamp biomicroscopic examination in mydriasis.

    The degree of glycaemic control, both before and after puberty, appears to be of outstanding importance for the development of retinopathy, but the contribution of other factors (arterial blood pressure, lipid abnormalities, sex steroids, smoking and genetic factors) may be of varying relevance in the individual patient.

    Thus, to improve the long-term prognosis for children with diabetes appropriate screening for retinopathy and associated risk factors is mandatory.

    Mots-clés Pascal : Diabète insulinodépendant, Complication, Rétinopathie, Dépistage, Classification, Epidémiologie, Facteur risque, Association, Génétique, Hypertension artérielle, Tabac, Enfant, Homme, Adolescent, Endocrinopathie, Immunopathologie, Maladie autoimmune, Oeil pathologie, Appareil circulatoire pathologie

    Mots-clés Pascal anglais : Insulin dependent diabetes, Complication, Retinopathy, Medical screening, Classification, Epidemiology, Risk factor, Association, Genetics, Hypertension, Tobacco, Child, Human, Adolescent, Endocrinopathy, Immunopathology, Autoimmune disease, Eye disease, Cardiovascular disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0024996

    Code Inist : 002B21E01B. Création : 31/05/1999.