[The influence of physical effort of variable intensity on glycemia in children with diabetes]. / Wplyw wysilku fizycznego o zmiennej intensywnosci na glikemie u dzieci chorych na cukrzyce.

The influence of physical effort of variable intensity on glycaemia in children was analyzed in 61 children (29 girls and 32 boys) from 5-17 years of age with newly diagnosed diabetes and with diabetes lasting from 1-12 years (5.5 on average) was assessed. The children underwent an exercise test on a thread null. The pulse rate was on indicator of effort. Pulse rate before and after the effort was measured using a Sport-Tester apparatus and the level of glucose in the capillary bloodstream was determined using an Ames glucometer. Three tests of increasing intensity were performed, each lasting 20 minutes on three consecutive days. In children with well controlled insulin dependent diabetes with glycaemia up to 150 mg/100 ml in first three hours after test, physical effort of variable intensity caused an individually variable fall in glycaemia from 15-43 mg/100 ml. In children with poorly controlled insulin dependent diabetes with hyperglycaemia from 210 to 300 mg/100 ml, physical effort caused a rise of glycaemia from 20-80 mg/100 ml compared to controls. Up to 3 hours after physical effort, 20 children had hypoglycaemia 60 mg 100 ml and 4 children had hypoglycaemia below 40 mg/100 ml. Hypoglykaemia manifested as a mild complex of clinical signs.

[Clinical picture of tuberculous peritonitis]. / Obraz kliniczny gruzliczego zapalenia otrzewnej.

The clinical picture of tuberculous peritonitis in productive form with formation of an abdominal tumour 18 x 20 cm in dimensions is described. The patient was a boy aged 19 years from rural environment. The diagnosis was based on bacteriological investigations, histological examination and clinical manifestations. Attention is called to diagnostic difficulties in cases of tuberculous peritonitis without positive tuberculin tests and with pulmonary fibronodular tuberculosis.