الفهرس 
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Abstract
The aim of present study was to assess nutritional assessment of school
children with type 1diabetes mellitus and evaluation of nutritional status of the
studied children.
Type 1 diabetes mellitus is the most common metabolic disease in
childhood in Egypt among school children . An interplay between genetic
susceptibility and environmental factors (triggering or suppressive) may account
for the pathogenesis of type 1 diabetes . The diabetes control and complications
trial (DCCT) showed the importance of strict metabolic control in delaying and
preventing complication. .Intensive diabetes therapy should be encouraged
among children with type 1 diabetes mellitus to delay onset of long term
complications.( Ismail , Kasem , Abou-El-Asrar , El-Samahy , 2008)
A cross-sectional study was for all children attended and registered in
the Main Insurance Clinic of Children in Shebin ElKom city represented the
urban and rural area in Menofia Governorate . School children covered by
health insurance . All children had type 1 DM attended this clinic for
obtaining insulin as treatment from the insurance and follow up .
All children aged 6-12 years old who registered and attended to clinic
during period of study and agree to be involved in study.
The nutritional status of children was assessed by medical history ,
anthropometric measurement , laboratory investigation and dietary assessment
by self design questionnaire of dietary intake are assessed by previous 24
hours or of a “typical” 24-hour period or food frequency questionnaires.
Great number of studied children with moderate socioeconomic level
(72.8%) of total group ,81.4% from rural and 18.5% from urban area . The
socioeconomic standard is same among children in rural area and urban area
the socioeconomic standard not affect nutritional status of children .
from this study ,assessment of nutritional status of children was done
including anthropometric measurement and laboratory investigation according
to the patient sheet during follow-up for rural and urban studied children , there
was no significant difference between rural and urban children regarding most
anthropometric (weight, height, BMI) shown 48.6% of studied children
overweight according to BMI percentile and 29.1% % at risk of overweight
after the comparing the results of this study with the Body Mass Index for age
percentile for boys and girls.