Page 207 - Abstract Book KONIKA 18

Endocrinology

P-ENDO-061
Determinants of Stunting in Children Aged 6 Months to 5 Years
in Singkuang and Huta Godang villages in Mandailing Natal District

Halida Rahmah Nasution , Munar Lubis , Isti Ilmiati Fujiati 2
1
1
Department of Chid Health and Department of Community Medicine , Faculty of Medicine,
2
1
Universitas Sumatera Utara, Medan, North Sumatera, Indonesia
Abstract
Background Stunting is a condition of children who suffer from growth retardation as a result of poor
nutrition or chronic infections who tend to have a greater risk of contracting a disease to death. There are
various risk factors that cause stunting, which require further research to analyze the determinants of stunting.
Based on the data, Mandailing Natal District had a high stunting prevalence category (39,7%), especially
in Singkuang and Huta Godang villages. Objective To analyze the determinants of stunting in children in
Singkuang and Huta Godang villages in Mandailing Natal District. Methods This is a cross-sectional design
study for children aged 6 months to 5 years in Singkuang and Huta Godang villages in July 2019. The sample
in this study was selected using a consecutive sampling technique. Results Of the 55 research subjects who
met the inclusion and exclusion criteria, 27 children were found stunted. The odds of stunting increased
significantly with low level of nutritional intake, group education level, clean drinking water sources were
the independent determinants of stunting (OR=141.7, 55.3, and 23.1, respectively). Conclusion This study
findings indicated that low level of nutritional intake, group education level, clean drinking water sources are
the independent determinants of stunting and the level of unhealthy nutritional intake is the most important
factor among the others.
Keywords: stunting; determinants

P-ENDO-062
Hyperglycemia in Undiagnosed Type 1 Diabetes Mellitus: A Case Report

Claresta, Ratna Setia Asih
Depati Hamzah Regional Hospital, Pangkalpinang, Bangka Belitung, Indonesia

Abstract
Background Type 1 Diabetes Mellitus (T1DM) is characterized by immune-mediated depletion of
ß-cell that results in absolute insulin deficiency. The prevalence of T1DM in children in Indonesia is
increasing although the real number is unknown due to the high rate of misdiagnosis and low awareness.
Objective To report a case of hyperglycemia in undiagnosed T1DM. Case A 4-year-old girl, weighing 15
kilograms, was brought to the emergency department for fatigue, vomiting, and abdominal pain for 2 days
before admission. Previously, she also experienced polydipsia, polyphagia, polyuria, and loss 2 kilos of
weight in a month. She had no previous history of illness. A family history of DM was present from her
father. Physical examination revealed tachycardia, mild dehydration, and tenderness in the epigastric region
of the abdomen. Laboratory examination showed hyperglycemia, leukocytosis, ketonuria, glucosuria), and
high HbA1c. Electrolytes were within normal limits. Blood gas analysis (BGA) was not available. She was
diagnosed with T1DM. She was treated with fluid replacement therapy, followed by initial insulin therapy
(0.7 unit/kg/day) and intravenous antibiotic after dehydration had resolved. On day 2, she vomited profusely,
resulting in hypokalemia. Potassium infusion was given to treat hypokalemia. During hospitalization, families
had been educated with basic knowledge on T1DM, nutrition regulation, insulin use, self-monitoring of
blood glucose, and first aid during acute complication. She was discharged after 7 days of hospitalization.
Conclusion Children with undiagnosed T1DM often present acutely with symptoms of insulin deficiency and
hyperglycemia. Therefore, physicians should consider T1DM as a differential diagnosis for early detection
and management.
Keywords: diabetes mellitus type 1; hyperglycemia

KONIKA XVIII Abstract Book 159