Effect Of Diabetes Control On The Prevalence Of Subtle Urinary Tract Infection in Type1 Diabetic Children

Document Type : Original Article

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Pediatric department faculty of medicine Aswan university

Abstract

ABSTRACT
Background: It is important to highlight that opinions on how blood sugar regulation affects UTIs vary. There is much debate regarding the connection between blood sugar regulation and UTIs. This study aimed to explore the role of diabetic control among T1DM children in the occurrence and complications of UTI.
Methodology: this observational cross-sectional study was carried out in the Pediatrics Department, Aswan University Hospital on 106 children (53 controlled and 53 uncontrolled T1DM) with subtle UTI.
Results: cases with uncontrolled T1DM were younger in age and had lower BMI. Additionally, younger age at onset was correlated with uncontrol of disease and those patients had higher prevalence of DKA. Further, levels of CRP and HbA1c was significantly lower in controlled T1DM vs. uncontrolled T1DM group. Also, pus cells, ketones, casts and leucocytes were significantly increased in uncontrolled T1DM group than uncontrolled T1DM group. Conclusion: glycemic control in T1DM children with UTIs was associated with age, BMI, age of onset, inflammatory markers, HbA1C and urine analysis parameters.

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Aswan University Medical Journal
Volume 5, Issue 3
September 2025
Pages 89-97

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