scholarly journals COVID-19 School Closures: Implications for Pediatric Diabetes Management - A Commentary

2020 ◽  
Vol 7 (4) ◽  
Keyword(s):  
Diabetes Management ◽  
School Closures ◽  
Pediatric Diabetes

The impact of health insurance coverage on pediatric diabetes management

2010 ◽  
Vol 90 (1) ◽  
pp. 40-44 ◽  
Author(s):  
Kupper A. Wintergerst ◽  
Krystal M. Hinkle ◽  
Christopher N. Barnes ◽  
Adetokunbo O. Omoruyi ◽  
Michael B. Foster
Keyword(s):  
Health Insurance ◽  
Diabetes Management ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Pediatric Diabetes ◽  
The Impact

Effectiveness of a rural pediatric diabetes management program

2003 ◽  
Vol 4 (3) ◽  
pp. 137-142 ◽  
Author(s):  
G. M. Summersett ◽  
G. E. Richards ◽  
S. M. Melzer ◽  
J. R. Sugarman ◽  
G. B. Kletter
Keyword(s):  
Diabetes Management ◽  
Management Program ◽  
Pediatric Diabetes ◽  
Diabetes Management Program

scholarly journals Measuring Self-Efficacy in the Context of Pediatric Diabetes Management: Psychometric Properties of the Self-Efficacy for Diabetes Scale

2017 ◽  
Vol 43 (2) ◽  
pp. 143-151 ◽  
Author(s):  
Jason Van Allen ◽  
Amy E Noser ◽  
Andrew K Littlefield ◽  
Paige L Seegan ◽  
Mark Clements ◽  
...  
Keyword(s):  
Psychometric Properties ◽  
Self Efficacy ◽  
Diabetes Management ◽  
The Self ◽  
Pediatric Diabetes

The impact of insurance coverage and the family on pediatric diabetes management

2016 ◽  
Vol 18 (4) ◽  
pp. 315-319 ◽  
Author(s):  
Sara E Watson ◽  
Evan A Kuhl ◽  
Michael B Foster ◽  
Adetokunbo O Omoruyi ◽  
Suzanne E Kingery ◽  
...  
Keyword(s):  
Diabetes Management ◽  
Insurance Coverage ◽  
Pediatric Diabetes ◽  
The Family ◽  
The Impact

scholarly journals Modeling Ketogenesis for Use in Pediatric Diabetes Simulation

2019 ◽  
pp. 193229681988205
Author(s):  
Catherina Pinnaro ◽  
Gary E. Christensen ◽  
Vanessa Curtis
Keyword(s):  
Medical Education ◽  
Blood Sugar ◽  
Diabetes Management ◽  
Diabetes Education ◽  
Clinical Results ◽  
User Input ◽  
State Variable ◽  
Pediatric Diabetes ◽  
Adult Inpatient

Background: Simulation is being increasingly integrated into medical education. Diabetes simulation is well-received by trainees and has demonstrated improved clinical results, including reduced adult inpatient hyperglycemia. However, no pediatric-specific diabetes simulation programs exist for use in medical education. None of the existing diabetes models incorporate ketones as an input or an output, which is essential for use in teaching pediatric diabetes management. Methods: We created a pediatric diabetes simulation incorporating both blood sugar and urine ketones as output. Ketone output is implemented as a state variable but is obfuscated to simulate hospital experience. Blood sugar output is similar to other models and incorporates the current blood sugar, insulin on board (IOB) and carbohydrates on board (COB), and insulin and carbohydrate sensitivities. The program calculates all IOB and COB every 15 minutes based on user input and provides written summary feedback at the end of the simulation about inaccurate dosing and timing. Results: The simulation realistically incorporated both blood glucose and urine ketones in clinically valid and actionable formats. After completing this simulation, 16/17 pediatric residents indicated that they wanted more simulated diabetes cases integrated into their curriculum. Conclusion: Implementing simulation into pediatric diabetes education was feasible and well-received. More work is needed to further study the role of simulation in pediatric diabetes education when used adjunctively or in lieu of lectures when time or resources are limited.

Implications of the School Day on Health Behaviors for Children With Type 1 Diabetes: A Survey of Parent Perspectives During the COVID-19 Pandemic

2021 ◽  
Vol 47 (6) ◽  
pp. 447-456
Author(s):  
Christine A. March ◽  
Linda M. Siminerio ◽  
Radhika H. Muzumdar ◽  
Ingrid M. Libman
Keyword(s):  
Type 1 Diabetes ◽  
Health Behaviors ◽  
Online Survey ◽  
Diabetes Management ◽  
Return To School ◽  
Sleep Habits ◽  
School Closures ◽  
Cross Sectional ◽  
School Day

Purpose The purpose of this study is to survey parents of youth with type 1 diabetes during the COVID-19 pandemic with school closures to better understand the implications of the school day on health care behaviors. Methods A cross-sectional, online survey was distributed to parents of youth with type 1 diabetes ≤19 years of age in a large, academic diabetes center. Questions encompassed perceived changes in management behaviors and plans for return to school. Subgroup analysis compared parent responses by child’s age, reported stressors, and socioeconomic markers. Results Parents reported a worsening in their child’s diabetes health behaviors during school closures compared to what they perceived during a regular school day before the pandemic. More than half of parents reported feeling that their child was unable to maintain a normal routine, with particular implications for snacking between meals, daily physical activity, and sleep habits. Families with adolescents or those experiencing multiple pandemic-related stressors reported greater challenges. In open-ended responses, families highlighted difficulty in balancing school, work, and diabetes care and expressed concerns about the mental health repercussions of school closures for their children. Nearly half of parents reported being at least moderately worried about return to school, whereas only a minority reported seeking guidance from their diabetes provider. Conclusions Parent-reported disruptions of school-day routines frequently had adverse consequences for diabetes management in this population. These findings highlight the importance of a school-day routine for children with type 1 diabetes; during closures, families may benefit from mitigating strategies to maintain effective habits.

Use of Digital Technologies in Pediatric Diabetes Management During the Pandemic

2021 ◽  
Vol 1 (2) ◽  
Author(s):  
Dhruvi Hasnani ◽  
◽  
Vipul Chavda ◽  
Shriji Hasnani ◽  
Vaishali Maheriya ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Diabetes Management ◽  
International Diabetes Federation ◽  
Research Society ◽  
Medical Community ◽  
Hospital Death ◽  
Good Glycemic Control ◽  
Pediatric Diabetes

The outbreak of COVID-19 had created a significant impact on the medical community and has resulted in novel challenges to all the physicians. It is estimated by the International Diabetes Federation (IDF) that in 2019 there were 95,600 cases of type 1 diabetes (0 and 14 years of age) in India. Type 1 diabetes was identified to be an independent risk factor associated with in-hospital death in COVID-19. During the pandemic, due to fear of visiting the hospitals, there was an underrepresentation of new cases and due to delay in the diagnosis, there was a spike in the number of cases of diabetic ketoacidosis. The objective of the current review is to summarize the role of telemedicine in the management of pediatric diabetes. Various organizations such as the Research Society of Study of Diabetes in India (RSSDI), CDiC, and IFAC came forward to support the pediatric diabetes community through the supply of insulin, glucose strips and syringes. The efficiency of telehealth visits was enhanced by using diabetes technologies like insulin pumps, CGMs, and bluetooth glucose meters. As children got ample time to spend with their parents and perform the in-home physical activity, they had good glycemic control during the pandemic period in some cases.

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