Research focus

Why diagnosis is delayed

Late diagnosis is rarely one failure. It is a chain of small delays — at home, at school, at the clinic and on the road.

What our research shows

66.7%

presented in diabetic ketoacidosis at diagnosis

1 in 5

correctly diagnosed at the first doctor visit

51

pediatric endocrinologists for the whole country

93.1%

had polyuria — a classic, visible warning sign

Of children arriving in ketoacidosis, 71.4% were severe, 23.8% moderate and 4.8% mild. National data recorded around 71% presenting with DKA in 2017, up from 63% in 2015–2016 — far above the 58-country pooled estimate of 41.9%. See the full findings.

The chain of delay

Day 0 — polyuria, polydipsia, nocturia

Symptoms begin

Symptoms often persist over 2 weeks

First clinic visit

66.7% only at DKA

Correct diagnosis