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Prepubertal girls with insulin-dependent diabetes mellitus have higher exogenous insulin requirement than boys
Authors:J. Komulainen  H. K. Åkerblom  R. Lounamaa  M. Knip
Affiliation:(1) The Children's Hospital, University of Helsinki, Helsinki, Finland, FI;(2) Department of Epidemiology, the National Public Health Institute, Helsinki, Finland, FI;(3) Medical School, University of Tampere, and Department of Paediatrics, Tampere University Hospital, Tampere, Finland, FI;(4) Department of Paediatrics, Kuopio University Hospital, P.O. Box 1777, FIN-70211 Kuopio, Finland, Tel.: +358-17-173311, Fax: +358-17-172410, FI
Abstract:In a population based study, the prescribed insulin dose of 348 prepubertal children with insulin-dependent diabetes mellitus (IDDM) was analysed 2 years after the diagnosis of diabetes. Girls had an insulin dose 13.6% higher than that in boys. When children younger than 5 years of age at diagnosis were analysed separately, the difference in insulin dose between boys and girls remained. The increased insulin dose in girls was not explained by possible differences in endogenous insulin secretion, body mass index, metabolic control or the number of daily insulin injections. Our observations indicate that prepubertal girls with IDDM have a poorer insulin sensitivity than boys. Received: 26 May 1997 / Accepted in revised form: 26 January 1998
Keywords:Insulin dose  Insulin sensitivity  Gender  Type 1 diabetes  Children
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