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2. Recommendations for recognizing, risk stratifying, treating, and managing children and adolescents with hypoglycemia

Author

Stefano Zucchini, Stefano Tumini, Andrea Enzo Scaramuzza, Riccardo Bonfanti, Maurizio Delvecchio, Roberto Franceschi, Dario Iafusco, Lorenzo Lenzi, Enza Mozzillo, Stefano Passanisi, Claudia Piona, Ivana Rabbone, Novella Rapini, Andrea Rigamonti, Carlo Ripoli, Giuseppina Salzano, Silvia Savastio, Riccardo Schiaffini, Angela Zanfardino, Valentino Cherubini, Diabetes Study Group of the Italian Society for Pediatric Endocrinology Diabetes, Albino Claudia Accursia, Aloe Monica, Anzelotti Maria Teresa, Arnaldi Claudia, Barbetti Fabrizio, Bassi Marta, Berioli Maria Giulia, Bernardini Luca, Bertelli Enrica, Biagioni Martina, Bobbio Adriana, Bombaci Bruno, Bonfanti Riccardo, Bonura Clara, Bracciolini Giulia Patrizia, Bruzzese Mariella, Bruzzi Patrizia, Buono Pietro, Buscarino Piera, Cadario Francesco, Calcaterra Valeria, Calzi Elena, Cappa Marco, Cardani Roberta, Cardella Francesca, Cardinale Giuliana Marcella, Casertano Alberto, Castorani Valeria, Cauvin Vittoria, Cenciarelli Valentina, Ceruti Franco, Cherubini Valentino, Chiarelli Francesco, Chiari Giovanni, Cianfarani Stefano, Cicchetti Mario, Cipriano Paola, Cirillo Dante, Citriniti Felice, Coccioli Maria Susanna, Confetto Santino, Contreas Giovanna, Coro Anna, Correddu Antonella, Corsini Elisa, Crino’ Antonino, d’Annunzio Giuseppe, De Berardinis Fiorella, De Donno Valeria, De Filippo Gianpaolo, De Marco Rosaria, De Sanctis Luisa, Del Duca Elisabetta, Delvecchio Maurizio, Deodati Annalisa, Di Bonito Procolo, Di Candia Francesca, Faleschini Elena, Fattorusso Valentina, Favia Anna, Federico Giovanni, Felappi Barbara, Ferrari Mara, Ferrito Lucia, Fichera Graziella, Fontana Franco, Fornari Elena, Franceschi Roberto, Franco Francesca, Franzese Adriana, Frongia Anna Paola, Frontino Giulio, Gaiero Alberto, Galassi Sabrina Maria, Gallo Francesco, Gargantini Luigi, Giani Elisa, Gortan Anna Jolanda, Graziani Vanna, Grosso Caterina, Gualtieri Antonella, Guasti Monica, Guerraggio Lucia Paola, Guzzetti Chiara, Iafusco Dario, Iannicelli Gennaro, Iezzi Maria Laura, Ignaccolo Maria Giovanna, Innaurato Stefania, Inzaghi Elena, Iovane Brunella, Iughetti Lorenzo, Kaufmann Peter, La Loggia Alfonso, Lambertini Anna Giulia, Lapolla Rosa, Lasagni Anna, Lazzaro Nicola, Lazzeroni Pietro, Lenzi Lorenzo, Lera Riccardo, Levantini Gabriella, Lezzi Marilea, Lia Rosanna, Liguori Alice, Lo Presti Donatella, Lombardo Fortunato, Lonero Antonella, Longhi Silvia, Lorubbio Antonella, Lucchesi Sonia, Maccioni Rosella, Macedoni Maddalena, Macellaro Patrizia Cristiana, Madeo Simona Filomena, Maffeis Claudio, Mainetti Benedetta, Maltoni Giulio, Mameli Chiara, Mammì Francesco, Manca Bitti Maria Luisa, Mancioppi Valentina, Manco Melania, Marigliano Marco, Marino Monica, Marsciani Alberto, Matteoli Maria Cristina, Mazzali Elena, Minute Marta, Minuto Nicola, Monti Sara, Morandi Anita,, Morganti Gianfranco, Morotti Elisa, Mozzillo Enza, Musolino Gianluca, Olivieri Francesca, Ortolani Federica, Pampanini Valentina, Pardi Daniela, Pascarella Filomena, Pasquino Bruno, Passanisi Stefano, Patera Ippolita Patrizia, Pedini Annalisa, Pennati Maria Cristina, Peruzzi Sonia, Peverelli Paola, Pezzino Giulia, Piccini Barbara, Piccinno Elvira Eugenia Rosaria, Piona Claudia, Piredda Gavina, Piscopo Alessia, Pistone Carmelo, Pozzi Erica, Prandi Elena, Predieri Barbara, Prudente Sabrina, Pulcina Anna, Rabbone Ivana, Randazzo Emioli, Rapini Novella, Reinstadler Petra, Riboni Sara, Ricciardi Maria Rossella, Rigamonti Andrea, Ripoli Carlo, Rossi Virginia, Rossi Paolo, Rutigliano Irene, Sabbion Alberto, Salvatoni Alessandro, Salvo Caterina, Salzano Giuseppina, Sanseviero Mariateresa, Savastio Silvia, Savini Rosanna, Scanu Mariapiera, Scaramuzza Andrea Enzo, Schiaffini Riccardo, Schiavone Maurizio, Schieven Eleonardo, Scipione Mirella, Secco Andrea, Silvestri Francesca, Siri Giulia, Sogno Valin Paola, Sordelli Silvia, Spiri Daniele, Stagi Stefano, Stamati Filomena Andreina, Suprani Tosca, Talarico Valentina, Tiberi Valentina, Timpanaro Tiziana Antonia Lucia, Tinti Davide, Tirendi Antonina, Tomaselli Letizia Grazia, Toni Sonia, Torelli Cataldo, Tornese Gianluca, Trada Michela,, Trettene Adolfo Andrea, Tumini Stefano, Tumminelli Marilena, Valerio Giuliana, Vandelli Sara, Ventrici Claudia, Zampolli Maria, Zanatta Manuela, Zanfardino Angela, Zecchino Clara, Zonca Silvia, and Zucchini Stefano

Subjects
adolescents, automated insulin delivery, children, hypoglycemia, glucagon, oral glucose, Diseases of the endocrine glands. Clinical endocrinology, RC648-665
Abstract

There has been continuous progress in diabetes management over the last few decades, not least due to the widespread dissemination of continuous glucose monitoring (CGM) and automated insulin delivery systems. These technological advances have radically changed the daily lives of people living with diabetes, improving the quality of life of both children and their families. Despite this, hypoglycemia remains the primary side-effect of insulin therapy. Based on a systematic review of the available scientific evidence, this paper aims to provide evidence-based recommendations for recognizing, risk stratifying, treating, and managing patients with hypoglycemia. The objective of these recommendations is to unify the behavior of pediatric diabetologists with respect to the timely recognition and prevention of hypoglycemic episodes and the correct treatment of hypoglycemia, especially in patients using CGM or advanced hybrid closed-loop systems. All authors have long experience in the specialty and are members of the Italian Society of Pediatric Endocrinology and Diabetology. The goal of treating hypoglycemia is to raise blood glucose above 70 mg/dL (3.9 mmol/L) and to prevent further decreases. Oral glucose at a dose of 0.3 g/kg (0.1 g/kg for children using “smart pumps” or hybrid closed loop systems in automated mode) is the preferred treatment for the conscious individual with blood glucose

Published
2024
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3. Expression of miRNAs in Pre-Schoolers with Autism Spectrum Disorders Compared with Typically Developing Peers and Its Effects after Probiotic Supplementation

Author

Guiducci, Letizia, primary, Cabiati, Manuela, additional, Santocchi, Elisa, additional, Prosperi, Margherita, additional, Morales, Maria Aurora, additional, Muratori, Filippo, additional, Randazzo, Emioli, additional, Federico, Giovanni, additional, Calderoni, Sara, additional, and Del Ry, Silvia, additional

Published
2023
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11. Cardiometabolic risk in childhood cancer survivors

Author

LUONGO, Caterina, primary, RANDAZZO, Emioli, additional, IUGHETTI, Lorenzo, additional, DI IORGI, Natascia, additional, LOCHE, Sandro, additional, MAGHNIE, Mohamad, additional, VALERIO, Giuliana, additional, and DELVECCHIO, Maurizio, additional

Published
2022
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12. Evaluation of Exosomal Coding and Non-Coding RNA Signature in Obese Adolescents.

Author

Cabiati, Manuela, Randazzo, Emioli, Guiducci, Letizia, Falleni, Alessandra, Cecchettini, Antonella, Casieri, Valentina, Federico, Giovanni, and Del Ry, Silvia

Subjects
*NON-coding RNA, *OVERWEIGHT children, *EXOSOMES, *TEENAGERS, *GENE expression
Abstract

Exosomes may contribute to the pathogenesis of obesity through their action as communication mediators. As we have previously demonstrated, in obese adolescents, some circulating miRNAs modified the C-type natriuretic peptide (CNP) expression and were associated with changes in metabolic functions. At present no data are available on miRNA transport by exosomes in this condition. To verify and compare the presence and the expression of CNP/NPR-B/NPR-C, and some miRNAs (miR-33a-3p/miR-223-5p/miR-142-5p/miRNA-4454/miRNA-181a-5p/miRNA-199-5p), in circulating exosomes obtained from the same cohort of obese (O, n = 22) and normal-weight adolescents (N, n = 22). For the first time, we observed that exosomes carried CNP and its specific receptors only randomly both in O and N, suggesting that exosomes are not important carriers for the CNP system. On the contrary, exosomal miRNAs resulted ubiquitously and differentially expressed in O and N. O showed a significant decrease (p < 0.01) in the expression of all miRNAs except for miR-4454 and miR-142-5p. We have found significant correlations among miRNAs themselves and with some inflammatory/metabolic factors of obesity. These relationships may help in finding new biomarkers, allowing us to recognize, at an early stage, obese children and adolescents at high risk to develop the disease complications in adult life. [ABSTRACT FROM AUTHOR]

Published
2023
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13. Differences between transient neonatal diabetes mellitus subtypes can guide diagnosis and therapy

Author

Bonfanti, Riccardo, primary, Iafusco, Dario, additional, Rabbone, Ivana, additional, Diedenhofen, Giacomo, additional, Bizzarri, Carla, additional, Patera, Patrizia Ippolita, additional, Reinstadler, Petra, additional, Costantino, Francesco, additional, Calcaterra, Valeria, additional, Iughetti, Lorenzo, additional, Savastio, Silvia, additional, Favia, Anna, additional, Cardella, Francesca, additional, Lo Presti, Donatella, additional, Girtler, Ylenia, additional, Rabbiosi, Sarah, additional, D’Annunzio, Giuseppe, additional, Zanfardino, Angela, additional, Piscopo, Alessia, additional, Casaburo, Francesca, additional, Pintomalli, Letizia, additional, Russo, Lucia, additional, Grasso, Valeria, additional, Minuto, Nicola, additional, Mucciolo, Mafalda, additional, Novelli, Antonio, additional, Marucci, Antonella, additional, Piccini, Barbara, additional, Toni, Sonia, additional, Silvestri, Francesca, additional, Carrera, Paola, additional, Rigamonti, Andrea, additional, Frontino, Giulio, additional, Trada, Michela, additional, Tinti, Davide, additional, Delvecchio, Maurizio, additional, Rapini, Novella, additional, Schiaffini, Riccardo, additional, Mammì, Corrado, additional, Barbetti, Fabrizio, additional, _, _, additional, Aloe, Monica, additional, Amadeo, Simona, additional, Arnaldi, Claudia, additional, Bassi, Marta, additional, Beccaria, Luciano, additional, Benelli, Marzia, additional, Maria Berioloi, Giulia, additional, Bertelli, Enrica, additional, Biagioni, Martina, additional, Bobbio, Adriana, additional, Boccato, Stefano, additional, Bologna, Oriana, additional, Bontempi, Franco, additional, Bonura, Clara, additional, Bracciolini, Giulia, additional, Brufani, Claudia, additional, Bruzzi, Patrizia, additional, Buono, Pietro, additional, Cardani, Roberta, additional, Cardinale, Giuliana, additional, Casertano, Alberto, additional, Cristina Castiglione, Maria, additional, Cauvin, Vittoria, additional, Cherubini, Valentino, additional, Chiarelli, Franco, additional, Chiari, Giovanni, additional, Cianfarani, Stefano, additional, Cirillo, Dante, additional, Citriniti, Felice, additional, Coccioli, Susanna, additional, Cogliardi, Anna, additional, Confetto, Santino, additional, Contreas, Giovanna, additional, Corò, Anna, additional, Corsini, Elisa, additional, Cresta, Nicoletta, additional, De Berardinis, Fiorella, additional, De Donno, Valeria, additional, De Filippo, Giampaolo, additional, De Marco, Rosaria, additional, Deodati, Annalisa, additional, Faleschini, Elena, additional, Fattorusso, Valentina, additional, Favalli, Valeria, additional, Felappi, Barbara, additional, Ferrito, Lucia, additional, Fichera, Graziella, additional, Fontana, Franco, additional, Fornari, Elena, additional, Franceschi, Roberto, additional, Franco, Francesca, additional, Franzese, Adriana, additional, Paola Frongia, Anna, additional, Gaiero, Alberto, additional, Gallo, Francesco, additional, Gargantini, Luigi, additional, Giani, Elisa, additional, Giorgetti, Chiara, additional, Bianchi, Giulia, additional, Graziani, Vanna, additional, Gualtieri, Antonella, additional, Guasti, Monica, additional, Iannicelli, Gennaro, additional, Iannilli, Antonio, additional, Giovanna, Ignaccolo, additional, Ingletto, Dario, additional, Innaurato, Stefania, additional, Inzaghi, Elena, additional, Iovane, Brunella, additional, Kaufmann, Peter, additional, La Loggia, Alfonso, additional, Lapolla, Rosa, additional, Lasagni, Anna, additional, Lazzaro, Nicola, additional, Lenzi, Lorenzo, additional, Lera, Riccardo, additional, Levantini, Gabriella, additional, Lombardo, Fortunato, additional, Lonero, Antonella, additional, Longhi, Silvia, additional, Lucchesi, Sonia, additional, Paola Guerraggio, Lucia, additional, Lucieri, Sergio, additional, Macellaro, Patrizia, additional, Maffeis, Claudio, additional, Mainetti, Bendetta, additional, Maltoni, Giulio, additional, Mameli, Chiara, additional, Mammì, Francesco, additional, Luisa Manca-Bitti, Maria, additional, Manco, Melania, additional, Marino, Monica, additional, Mariano, Matteo, additional, Marigliano, Marco, additional, Marsciani, Alberto, additional, Mastrangelo, Costanzo, additional, Cristina Matteoli, Maria, additional, Mazzali, Elena, additional, Meschi, Franco, additional, MIgliaccio, Antonella, additional, Morandi, Anita, additional, Morganti, Gianfranco, additional, Mozzillo, Enza, additional, Musolino, Gianluca, additional, Nugnes, Rosa, additional, Ortolani, Federica, additional, Pardi, Daniela, additional, Pascarella, Filomena, additional, Passanisi, Stefano, additional, Pedini, Annalisa, additional, Pennati, Cristina, additional, Perrotta, Angelo, additional, Peruzzi, Sonia, additional, Peverelli, Paola, additional, Pezzino, Giulia, additional, Claudia Piona, Anita, additional, Piredda, Gavina, additional, Pistone, Carmelo, additional, Prandi, Elena, additional, Pedieri, Barbara, additional, Di Bonito, Procolo, additional, Pulcina, Anna, additional, Quinci, Maria, additional, Randazzo, Emioli, additional, Ricciardi, Rossella, additional, Ripoli, Carlo, additional, Roppolo, Rosanna, additional, Rutigliano, Irene, additional, Sabbio, Alberto, additional, salardi, Silvana, additional, Salvatoni, Alessandro, additional, Saporiti, Anna, additional, Sardi, Rita, additional, Scanu, Mariapiera, additional, Scaramuzza, Andrea, additional, Eleonardo Schiven, ,, additional, Secco, Andrea, additional, Sessa, Linda, additional, Sogno Valin, Paola, additional, Sordelli, Silvia, additional, Spallino, Luisa, additional, Stagi, Stefano, additional, Stamati, Filomena, additional, Suprani, Tosca, additional, Talarico, Valentina, additional, Timapanaro, Tiziana, additional, Tirendi, Antonella, additional, Tomaselli, Letizia, additional, Tornese, Gianluca, additional, Andrea Trettene, Adolfo, additional, Tumini, Stefano, additional, Valerio, Giuliana, additional, Ventrici, Claudia, additional, Viscardi, Matteo, additional, Zaffani, Silvana, additional, Zampolli, Maria, additional, Zanette, Giorgio, additional, Zecchino, Clara, additional, Antonietta Zedda, Maria, additional, Zonca, Silvia, additional, and Zucchini, Stefano, additional

Published
2021
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21. C-type natriuretic peptide is closely associated to obesity in Caucasian adolescents

Author

Del Ry, Silvia, primary, Cabiati, Manuela, additional, Bianchi, Vanessa, additional, Caponi, Laura, additional, Maltinti, Maristella, additional, Caselli, Chiara, additional, Kozakova, Michaela, additional, Palombo, Carlo, additional, Morizzo, Carmela, additional, Marchetti, Sara, additional, Randazzo, Emioli, additional, Clerico, Aldo, additional, and Federico, Giovanni, additional

Published
2016
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23. Un fegato da colpo al cuore

Author

Vierucci, Francesco, Di Cicco, Maria Elisa, Ghione, Silvia, Belcari, Francesca, Marchi, Benedetta, Randazzo, Emioli, Gori, Martina, Palla, Gabriella, Consolini, Rita, Federico, Giovanni, and Maggiore, Giuseppe

Subjects
Pediatrics, Perinatology and Child Health, Socio-culturale, Perinatology and Child Health, Pediatrics
Published
2012

25. Diabetic ketoacidosis at the onset of disease during a national awareness campaign: A 2-year observational study in children aged 0-18 years

Author

Rabbone I., Maltoni G., Tinti D., Zucchini S., Cherubini V., Bonfanti R., Scaramuzza A., Lera R., Bobbio A., Piccinno E., Reinstadler P., Felappi B., Prandi E., Gallo F., Frongia AP., Ripoli C., Lo Presti D., Tomaselli L., Cardinale G., Stamati FA., Citriniti F., Suprani T., Graziani V., De Berardinis F., Zampolli M., De Marco R., Cavalli C., Lazzaro N., De Donno V., Toni S., Piccini B., Lenzi L., Mainetti B., Coccioli MS., d'Annunzio G., Minuto N., Aloe S., Lucchesi D., Cirillo S., Sordelli M., Del Vecchio F., Salzano LG., Meschi F., Iughetti L., Predieri B., Franzese A., Mozzillo Enza., Iafusco D., Cadario F., Savastio S., Piredda G., Cardella F., Iovane B., Calcaterra V., Berioli MG., Biagioni M., Randazzo E., Patera I., Schiaffini R., Rutigliano I., Lasagni A., Innaurato S., Gaiero A., Fichera G., Trada M., Guerraggio L., Cauvin V., Franceschi R., Tornese G., Salvatoni A., Marigliano M., Sabbion A., Maffeis C., Arnaldi C., Rabbone, I., Maltoni, G., Tinti, D., Zucchini, S., Cherubini, V., Bonfanti, R., Scaramuzza, A., Lera, R., Bobbio, A., Piccinno, E., Reinstadler, P., Felappi, B., Prandi, E., Gallo, F., Frongia, Ap., Ripoli, C., Lo Presti, D., Tomaselli, L., Cardinale, G., Stamati, Fa., Citriniti, F., Suprani, T., Graziani, V., De Berardinis, F., Zampolli, M., De Marco, R., Cavalli, C., Lazzaro, N., De Donno, V., Toni, S., Piccini, B., Lenzi, L., Mainetti, B., Coccioli, Ms., D'Annunzio, G., Minuto, N., Aloe, S., Lucchesi, D., Cirillo, S., Sordelli, M., Del Vecchio, F., Salzano, Lg., Meschi, F., Iughetti, L., Predieri, B., Franzese, A., Mozzillo, Enza., Iafusco, D., Cadario, F., Savastio, S., Piredda, G., Cardella, F., Iovane, B., Calcaterra, V., Berioli, Mg., Biagioni, M., Randazzo, E., Patera, I., Schiaffini, R., Rutigliano, I., Lasagni, A., Innaurato, S., Gaiero, A., Fichera, G., Trada, M., Guerraggio, L., Cauvin, V., Franceschi, R., Tornese, G., Salvatoni, A., Marigliano, M., Sabbion, A., Maffeis, C., Arnaldi, C., Rabbone, Ivana, Maltoni, Giulio, Tinti, Davide, Zucchini, Stefano, Cherubini, Valentino, Bonfanti, Riccardo, Scaramuzza, Andrea, Lera, Riccardo, Bobbio, Adriana, Piccinno, Elvira, Reinstadler, Petra, Felappi, Barbara, Prandi, Elena, Gallo, Francesco, Frongia, Anna Paola, Ripoli, Carlo, Lo Presti, Donatella, Tomaselli, Letizia, Cardinale, Giuliana, Stamati, Filomena Andreina, Citriniti, Felice, Suprani, Tosca, Graziani, Vanna, De Berardinis, Fiorella, Zampolli, Maria, De Marco, Rosaria, Cavalli, Claudio, Lazzaro, Nicola, De Donno, Valeria, Toni, Sonia, Piccini, Barbara, Lenzi, Lorenzo, Mainetti, Benedetta, Coccioli, Maria Susanna, D’Annunzio, Giuseppe, Minuto, Nicola, Aloe, Monica, Lucchesi, Sonia, Cirillo, Dante, Sordelli, Silvia, Delvecchio, Maurizio, Lombardo, Fortunato, Salzano, Giusy, Meschi, Franco, Iughetti, Lorenzo, Predieri, Barbara, Franzese, Adriana, Mozzillo, Enza, Iafusco, Dario, Cadario, Francesco, Savastio, Silvia, Cardella, Francesca, Iovane, Brunella, Calcaterra, Valeria, Berioli, Maria Giulia, Biagioni, Martina, Randazzo, Emioli, Patera, Ippolita Patrizia, Schiaffini, Riccardo, Rutigliano, Irene, Lasagni, Anna, Innaurato, Silvia, Gaiero, Alberto, Fichera, Grazziella, Trada, Michela, Guerraggio, Lucia, Cauvin, Vittoria, Franceschi, Roberto, Tornese, Gianluca, Salvatoni, Alessandro, Marigliano, Marco, Sabbion, Alberto, Maffeis, Claudio, and Arnaldi, Claudia

Subjects
Blood Glucose, Male, medicine.medical_specialty, Pediatrics, endocrine system diseases, Diabetic ketoacidosis, Adolescent, 030209 endocrinology & metabolism, Disease, 03 medical and health sciences, 0302 clinical medicine, diabetic ketoacidosis, Patient Education as Topic, Diabetes mellitus, Epidemiology, Medicine, Humans, 030212 general & internal medicine, Prospective Studies, Child, Type 1 diabetes, diabetes, business.industry, Incidence (epidemiology), Incidence, epidemiology, Infant, Newborn, diabetic ketoacidosi, nutritional and metabolic diseases, Infant, medicine.disease, Diabetes Mellitus, Type 1, Italy, diabete, Child, Preschool, Pediatrics, Perinatology and Child Health, Observational study, Female, business, Prevention campaign
Abstract

ObjectiveAfter a previous survey on the incidence of diabetic ketoacidosis (DKA) at onset of type 1 diabetes in children in 2013–2014 in Italy, we aimed to verify a possible decline in the incidence of DKA at onset during a national prevention campaign.DesignProspective observational study.SettingMulticentre study throughout Italy.InterventionNational awareness campaign started in November 2015 and held until December 2017.PatientsDuring 2016 and 2017 we collected data on all patients aged 0–18 years with new-onset diabetes.Main outcome measuresDKA (pH ResultsRecords (n=2361) of children with newly diagnosed type 1 diabetes were collected from 58 out of 68 (85.3%) centres of the original survey participants and 100% of the previously surveyed tertiary centres. Overall, DKA was observed in 1124 patients, with an increased rate when compared with the previous survey (47.6% vs 38.5%, p=0.002), and severe DKA in 15.3%. In children below 6 years, DKA was observed in 323 out of 617 (52.5%) and severe DKA in 16.7%; in this age group, occurrence of DKA reduced by 21.3% (p=0.009). DKA treatment according to the ISPED guidelines was adopted in 95% of the centres, with a 27% improvement (p=0.025).ConclusionsDuring a 2-year awareness campaign, DKA at onset of diabetes in children and adolescents 0–18 years is still common and increased when compared with the 2013–2014 survey.

Published
2020

26. Peripheral Arterial Tonometry (EndoPAT)-measured Endothelial Dysfunction in Migraine with Aura children.

Author

Bonuccelli A, Sciarrotta C, Esposito MG, Bianchi V, Miccoli M, Striano P, D'angelo R, Valiani M, Randazzo E, Foiadelli T, Peroni D, Federico G, and Orsini A

Subjects
Adolescent, Case-Control Studies, Child, Endothelium, Vascular, Humans, Manometry, Retrospective Studies, Hyperemia, Migraine with Aura, Vascular Diseases
Abstract

Background: The association between Migraine with Aura (MA) and vascular disease has been previously reported. We investigated whether pre-clinical vascular alterations, such as Endothelial Dysfunction, are already present in children and adolescents with Migraine with Aura., Methods: We retrospectively enrolled 27 patients having Migraine with Aura, aged9 -18 years, and 31 age matched healthy control subjects to evaluateEndothelial Function by Peripheral Arterial Tonometry. This technique measures finger pulse wave amplitude, before and during reactive hyperaemia, and calculates the Augmentation Index (AI) and the Reactive Hyperaemia Index (RHI). We also set-up an Aura Severity Scale to assess disease severity and its relationship with AI and RHI alterations., Results: Also if the case-control study resulted only partially as significant, we found there is an inversely proportional relationship between the severity of the migraine measured with Aura Severity Scale and the values of the endoscore (a significantly reduced levels of AI (p-value <0,03) and a marginal reduction of RHI levels (p-value <0,07)., Conclusion: Further studies should explore the impact of pre-clinical vascular alterations in children and adolescents with Migraine with Aura.

Published
2022
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