Source of Support: None, Conflict of Interest: None
The purpose of this study is to profile children with onset of diabetes below the age of five years among diabetics who first presented before the age of 15 years (n: 42) to our Centre over a 72 month period. Twelve children among the 42 were aged five years or less at diagnosis (28. 57%). Mean age at onset of diabetes was 3.17+/- 1.11 years, and age at presentation 5.33+/- 3.4 years; mean duration of diabetes was 1.94+/- 2.85 years. Mean height velocity of four children, followed for 24 months or more was 5.1 cm/ year (SD 1.6). The very young diabetic children poses a management challenge, requiring that time be spent disproportionate to their numbers. Acute presentation with ketoacidosis is common. Psychosocial support is crucial, and in developing countries, the treating physician often has to provide it, along with support from the extended family.