Page 67 - Abstract Book KONIKA 18

Endocrinology

O-ENDO-005
Glycemic Control of Children with Type 1 Diabetes Mellitus
Prior and During COVID-19 Era in Hasan Sadikin General Hospital

Maria Lisa , Novina Novina ,Faisal Faisal 2
1
2
2
1
Department of Child Health and Endocrinology Division , Department of Child Health, Faculty of Medicine,
Universitas Padjadjaran/Hasan Sadikin General Hospital, Bandung, West Java, Indonesia
Abstract
Background Type 1 diabetes mellitus (T1DM) is a chronic disease that requires constant glycemic control
(GC) for preventing any long-term complications. One of the indicators of GC is hemoglobin A1C (HbA1C)
level. The Corona Virus Disease 2019 (COVID-19) pandemic made a challenge in management of T1DM
in children, especially for achieving satisfactory GC. Objective The aim of this study is to describe impact
of COVID-19 pandemic on GC in children with T1DM. Methods We conducted a retrospective cohort
study of 39 children with T1DM who control to Pediatric Endocrinology Clinic Hasan Sadikin General
Hospital (RSHS) from November 2018-June 2021. For the GC parameter, we compare average HbA1C
level prior and during COVID-19 era. Results A total of 39 children with T1DM recruited in this study:
24 boys [61.5%] and 15 girls [38.5%], majority are Bandung residents [71.8%], mean age 13.9 (SD 3.3)
years, median duration of suffer from diabetes: 37 months. We do paired T-test to 28 children with the result
average HbA1C slightly decrease from 9.9±1.6 % to 9.2±1.3 % before and during pandemic era (P=0.002).
Conclusion There is a significant decrease of HbA1C during COVID-19 pandemic. Implementation of work
from home and semi lock down policy seems to encourage parents better monitored GC of their children.
Pediatric endocrinologists and residents in RSHS apparently assist patients and their parents to achieve better
GC during pandemic COVID-19 through proper consultation, education, and medical escort in outpatient
clinic and online consultation using a social media group special designated for T1DM families.

Keywords: type 1 diabetes mellitus, glycemic control, HbA1c, COVID-19, online consultation

O-ENDO-006
Relationship of Nutritional Status with Menstrual Disorder
in Junior High School Children

Siska Octaviani Purba, Karina Sugih Arto, Rina Amalia C. Saragih, Siska Mayasari Lubis, Melda Deliana
Departement of Child Health, Faculty of Medicine, Universitas Sumatera Utara, Medan, North Sumatera, Indonesia

Abstract
Background Several studies mention that fat distribution has a strong relationship with menstrual disorder.
Many studies have analyzed the relationship between nutritional status and menstrual disorder, but the results
were still controversial. Objective To determine the relationship of nutritional status with menstrual disorder
in junior high school children. Methods A cross-sectional study was conducted on girls aged 12-15 years who
had menstruated. The samples were overweight (P85-P95 BMI curve CDC), and well-nourished (P3-P85 BMI
curve CDC). The collected data were body mass index, waist circumference, waist circumference to height
ratio, and menstrual disorder based on pain (determine with VAS score), menstrual cycle, duration, and blood
volume. Chi square/ Fischer’s exact test was conducted to determine the relationship between nutritional
status and menstrual disorder. Samples with <P3 BMI curve CDC were excluded. Results From 73 samples,
there were 32.9% overweight, and 67.1% good nutrition status. There were significant relationship between
nutritional status with menstrual disorder (P=0.027; PR=1.304), menstrual cycle (P<0.001; PR=4.696),
duration (P<0.001; RP=2.45), and blood volume (P<0.001; PR=9.528), but there was no relationship with
menstrual pain (P=0.227). Conclusion There is a significant relationship between nutritional status with
menstrual disorder, menstrual cycle, duration, and blood volume, but there is no relationship between
nutritional status with menstrual pain.
Keywords: nutritional status; menstrual disorder

KONIKA XVIII Abstract Book 21