The obstacles in managing type 1 diabetes mellitus patients in H.Adam Malik Hospital, North Sumatera, Indonesia

Results We have 21 patients from 2009 until June 2012, 4 were male. The age at diagnosis was between 4 until 14 years old. Nutritional status were moderate until severe malnutrition. About 62% of patients had history of diabetic ketoacidosis. Most of them came from low social economic background, for some patients, the parents earning were less than 1 million rupiahs (diabetic ketoacidosis. Mean of HbA1C level was 14%, C-peptide was 0.3 ng/mL. Four patients died with severe DKA, and 1 died with severe hypoglycemia.