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KMID : 0811820100140020210
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Journal of Korean Society of Pediatric Nephrology
2010 Volume.14 No. 2 p.210 ~ p.217
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Clinical Features of Enuresis in Children with Diabetes Mellitus
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Kim Myung-Uk
Kim Sae-Yoon
Choi Jung-Yun
Cho Min-Hyun
Ko Cheol-Woo
Kim Heung-Sik
Park Yong-Hoon
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Abstract
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Purpose:Diabetes mellitus (DM) is known as one of the common causes of secondary enuresis in children. However, enuresis in diabetic children is overlooked only as a symptom of polyuria due to hyperglycemia. We evaluated the prevalence of nocturnal enuresis in children with diabetes mellitus in this paper.
Methods:Among children with diabetes in three hospitals in Daegu area, 117 agreed to ’Tele research by means of a questionnaire’.
Results:Diabetic patients were divided into two groups: Nocturnal enuresis and non- nocturnal enuresis group. thirty-two of 117 (27.0%) patients were in enuresis group, with more daytime urination than non-nocturnal enuresis group (4.2±1.6/3.6±1.2 times, P= 0.016). HbA1c at diagnosis was 12.0±2.3%/12.0±2.5%, and at follow-up 9.3±2.3%/8.3± 2.3% (P=0.042). Insulin was administered at 1.1±0.5/1.1±0.4 units/kg/day. Ten children of enuresis (31.2%) group were monosymptomatic (MNE) and 22 (68.8%) children were non-monosymptomatic enuresis (non-MNE). Fourteen (43.8%) of enuresis group had persistent symptoms, with 5 MNE and 9 non-MNE each. HbA1c at diagnosis was 11.1±2.5, 12.4±2.1, higher in non-MNE (P=0.144). Average arousal during sleep was step 3.3±1.2, 2.5±1.0, higher in improved enuresis group (P=0.059).
Conclusion:Nocturnal enuresis among DM patients is underestimated. However, considering psychological and social effects of enuresis in children, extensive and long-term studies are needed in the future to clarify relationship between prevalence and DM control.
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KEYWORD
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Enuresis, Diabetes mellitus, Pediatric
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