[Vitamin metabolism in children with insulin-dependent diabetes mellitus. Effect of length of illness, severity, and degree of disruption of substance metabolism]. / Obmen vitaminov u detei, bol'nykh insulinzavisimym sakharnym diabetom. Vliianie dlitel'nosti zabolevaniia, ego tiazhesti i stepeni narusheniia obmena veshchestv.

Correlation between the state of vitamin metabolism and the impairments in carbohydrate, lipid and protein metabolism was studied in 35 children of 9-13 years of age with diabetes mellitus of various severity standing for up to 7 years. Deterioration of riboflavin metabolism in insulin-dependent diabetes mellitus, expressed as an increase of the vitamin excretion with urine, was augmented with prolongation of the disease duration; the deterioration was sometimes related to the value of glycemia and glucosuria, being the indicative symptom of the disease. In spite of some limitations in validity of experiments related to insufficient number of children in some groups, a decrease in excretion of 1-methyl nicotinamide with urine was detected in all the children with the comatose state, in acidoketosis and glucosuria (above 20 g/day), whereas normal content of nicotinamide coenzymes was found in erythrocytes. Deficiency in vitamins B1, B6 and C was observed more often (5-100%) in children with elevated content of cholesterol as compared with 7-67% of children exhibiting normal level of cholesterol. Optimization of vitamins B and C consumption in children as well as use of any means for correction of these vitamins deficiency are discussed.

[Vitamin status of children with diabetes mellitus]. / Vitaminnyi status detei, stradaiushchikh sakharnym diabetom.

A vitamin status was studied in 32 children of both sexes at the age of 9-15 years with insulin-dependent diabetes mellitus within 2-3 years. The adequate consumption of all the vitamins studied was found only in two children. Polyhypovitaminosis was detected in 19% of these children. Deterioration of riboflavin metabolism observed was manifest, as a decrease in the vitamin content in tissues in line with an increase in its excretion with urine. As a result of this impairment metabolism of vitamins B6 and PP was disturbed with development of these vitamins secondary deficiency of the non-alimentary type. Obligatory correction of the water soluble vitamin deficiency in the patients with diabetes mellitus is discussed.

[Effectiveness of the use of vitamin-enriched food premixes in the nutrition of children with insulin-dependent diabetes]. / Effektivnost' izpol'zovaniia obogashchennykh vitaminnymi premiksami gotovykh bliud v pitanii detei, bol'nykh insulinzhavisimym sakharnym diabetom.

Vitamin-deficient children suffering from diabetes mellitus received milk dishes and drinks enriched with vitamin-rich premixes produced in Austria (Roche) for 2 weeks. The diet efficacy was evaluated by the values of thiamine, riboflavin, 4-pyridoxic acid, 1-methylnicotinamide and xanthurenic acid urinary excretion, blood levels of free and total riboflavin, nicotinamide and pyridoxic coenzymes, transketolase activity measured before and after the diet treatment. The latter resulted in a marked improvement in the levels of vitamins B1, B2, B6, PP and C, prevented the spring fall in vitamin supply. In view of incomplete normalization of the children's vitamin status after the two-week diet it is recommended to use the vitamin-enriched food and drinks for longer time or under a continuous regimen.