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Abstract
Background: The prevalence of diabetes mellitus is increasing worldwide. Adolescents in Saudi Arabia frequently presentwith the disease, some with clinical features which differ from those expected in youth from other countries. This newpattern is reported in the following study of newly diagnosed young diabetic patients from Eastern Saudi Arabia. Patientsand Method: Patients aged 14-20 diagnosed with diabetes over a five year period (1998-2003) in a private health centre werestudied. The presenting clinical features are described and compared with those of diabetic children from the samepopulation base. Results: Most newly diagnosed adolescent diabetic patients presented with the classical clinical features ofpolyuria, polydipsia and weight loss, rather than diabetic keto-acidosis. About one third of them (30%) behaved clinicallylike patients with type 2 diabetes (Type2 DM), with subsequent reasonable glycaemic control on diet and oral hypoglycaemicagents (OHAs), while only about a quarter (23%) presented with diabetic keto-acidosis (DKA) which was relatively mild.Conclusion: Only about a quarter of patients with adolescent onset diabetes mellitus in the Hasa area of Saudi Arabiapresented with DKA. The majority presented with the classical features of polydipsia, polyuria and weight loss with about athird behaving clinically like patients with Type 2 DM. (Int J Diabetes Metab 15: 4-8, 2007)
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