Changes in pediatric diabetes care throughout a 30-yr period at one institution for pediatric diabetology in Germany

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Abstract
Aims: The objective of the present study was to investigate putative changes in pediatric diabetes care at one institution between 1969 and 1998. Methods: A structured questionnaire was used to analyze all medical records from the Hospital for Children and Adolescents of the University of Leipzig, Germany, from 1969 to 1998, in order to review the number of cases of type 1 diabetes mellitus and the length of hospital stay of children with diabetes during the 30‐yr period. Results: Between 1969 and 1998, 441 children and adolescents (211 boys and 230 girls) with newly diagnosed diabetes mellitus type 1 were treated at the Hospital for Children and Adolescents in Leipzig. The number of patients newly diagnosed increased from 55 between 1969 and 1973 to 105 between 1994 and 1998 (p < 0.0003). The initial therapy and diabetes education were carried out in an in‐patient setting. The average duration of hospital stay was 36 d in the years 1969–73, and 17 d in the years 1994–98 (p < 0.0002). This reduction of time spent in hospital was achieved by establishing structured training courses and exact planning of treatment in relation to the degree of illness at presentation. Conclusion: The number of patients with type 1 diabetes mellitus receiving care in this single institution between the years 1969 and 1998 has increased continuously. With the help of quality‐assured structured training courses in a clinic for pediatric diabetes care, a dramatic reduction of the duration of hospital stay was achieved.