Scientific Online Resource System

Varna Medical Forum

Study Of General Practitioners’ Opinion On Diabetes Mellitus-Related Complications In Children

Mariana Zhelyazkova, Silvia Borisova, Ivan Dimitrov


Introduction: Diabetes mellitus is the most common metabolic disorder. It presentis with the inability of the body to control blood sugar levels. In Bulgaria 10 out of every 100,000 children and one or two sucklings are diagnosed with diabetes yearly. Their treatment requires a proper approach with the participation of general practitioners.

Purpose of the study: To study the opinion of general practitioners on the diabetes mellitus complications in children.

Scope and methods: A survey has been conducted among 750 general practitioners in Varna, Sliven and Sofia to determine their opinion on complications in children with diabetes mellitus. Statistical processing of the research results was completed using SPSS v. 20.0: analysis of variance, comparative and correlation analysis.

Results: A significant number of medical professionals (71.3%) report that diabetes mellitus–related complications are often identified. One of the most common complications is nephropathy (32.2%), retinopathy (25.2%) and the combination between polyneuropathy and retinopathy (22.1%). According to 25.4% of medical experts, it is the responsibility of the parents to monitor the health condition of children with diabetes mellitus, while 60.4% of respondents believe that responsibility shall be shared between the General Practitioner, the endocrinologist and the family.

Conclusion: The results from our study show that at present, the control of the disease is not good, which results in complications and disability problems in children at an early age. Medical professionals describe different types of team approach that to be used to monitor children with diabetes mellitus, involving not only specialists but also the family and this shows the necessity of creating models of cooperation and training.


general practitioners, complications, children, diabetes mellitus

Full Text


Brink SJ. Complications of pediatric and adolescent type 1 diabetes mellitus. Curr Diab Rep 2001;1:47 – 55.

Cook J, Daneman D, Spino M, et al. Angiotensin converting enzyme inhibitor therapy to decrease microalbuminuria in normotensive children with insulin-dependent diabetes mellitus. J Pediatr 1990;117:39 – 45.

Giugliano D, Ceriello A, Paolisso G. Oxidative stress and diabetic vascular complications. Diabetes Care 1996;19:257 – 67.

Glastras SJ., Mohsin F., Donaghue KC. Complications of Diabetes Mellitus in Childhood. Pediatr Clin N Am 52 (2005) 1735 – 1753.

Hyllienmark L, Brismar T, Ludvigsson J. Subclinical nerve dysfunction in children and adolescents with IDDM. Diabetologia 1995;38:685 – 92.

Klein R, Klein BE, Moss SE, et al. The Wisconsin Epidemiologic Study of Diabetic Retinopathy: XVII. The 14-year incidence and progression of diabetic retinopathy and associated risk factors in type 1 diabetes. Ophthalmology 1998;105:1801 – 15.

Nishikawa T, Edelstein D, Brownlee M. The missing link: a single unifying mechanism for diabetic complications. Kidney Int 2000;77:S26 – 30.

Pinhas-Hamiel O, Zeitler P. The global spread of type 2 diabetes mellitus in children and adolescents. J Pediatr 2005; 146: 693–700.

Pinhas-Hamiel О, Zeitler Р. Acute and chronic complications of type 2 diabetes mellitus in children and adolescents. Lancet 2007; 369: 1823–31.

Pirart J. Diabetes mellitus and its degenerative complications: a prospective study of 4,400 patients observed between 1947 and 1973. Diabet Metab 1977;3:173 – 82.

White NH, Waltman SR, Krupin T, et al. Reversal of neuropathic and gastrointestinal complications related to diabetes mellitus in adolescents with improved metabolic control. J Pediatr 1981;99:41 – 5.



Font Size