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Journal of the Korean Society of Pediatric Nephrology 2010;14(2): 210-217. doi: https://doi.org/10.3339/jkspn.2010.14.2.210
소아 당뇨병 환아에서 야뇨증의 임상적 특징
김명욱, 김세윤, 최정연, 조민현, 고철우, 김흥식, 박용훈
1영남대학교 의과대학 소아청소년과
2영남대학교 의과대학 소아청소년과
3영남대학교 의과대학 소아청소년과
4경북대학교 의과대학 소아청소년과
5경북대학교 의과대학 소아청소년과
6계명대학교 의과대학 소아청소년과
7영남대학교 의과대학 소아청소년과
Clinical Features of Enuresis in Children with Diabetes Mellitus
Myoung-Uk Kim, Sae-Yoon Kim, Jung-Youn Choi, Min-Hyun Cho, Cheol-Woo Ko, Heung-Sik Kim, Yong-Hoon Park
1Department of Pediatrics, Yeungnam University College of Medicine
2Department of Pediatrics, Yeungnam University College of Medicine
3Department of Pediatrics, Yeungnam University College of Medicine
4Department of Pediatrics, Kyungpook National University School of Medicine
5Department of Pediatrics, Kyungpook National University School of Medicine
6Department of Pediatrics, Kemyung University School of Medicine
7Department of Pediatrics, Yeungnam University College of Medicine
Received: March 28, 2010;  Revised: September 17, 2010.  Accepted: September 17, 2010.
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ABSTRACT
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 nonnocturnal enuresis group. thirty-two of 117 (27.0%) patients were in enuresis group, with more daytime urination than non-nocturnal enuresis group ($4.2{pm}1.6/3.6{pm}1.2$ times, P=0.016). HbA1c at diagnosis was $12.0{pm}2.3%/12.0{pm}2.5%$, and at follow-up $9.3{pm}2.3%/8.3{pm}2.3%$ (P =0.042). Insulin was administered at $1.1{pm}0.5/1.1{pm}0.4$ 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 $11.1{pm}2.5$, $12.4{pm}2.1$, higher in non-MNE (P=0.144). Average arousal during sleep was step $3.3{pm}1.2$, $2.5{pm}1.0$, 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.
Key words: Enuresis | Diabetes mellitus | Pediatric
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