PARENTAL PERCEPTION AND FACTORS ASSOCIATED WITH GLYCEMIC CONTROL IN PEDIATRIC PATIENTS WITH TYPE 1 DIABETES

2002 ◽  
Vol 8 (2) ◽  
pp. 105-108 ◽  
Author(s):  
J. Paul Frindik, MD, FACE ◽  
Jane P. Williams, PhD ◽  
Rae Lynn Johnson, RN, CDE ◽  
Roscoe A. Dykman, PhD
Diabetes ◽  
2021 ◽  
Vol 70 (Supplement 1) ◽  
pp. 724-P
Author(s):  
DIRK MÜLLER-WIELAND ◽  
PIERRE GOURDY ◽  
RICCARDO C. BONADONNA ◽  
NICK FREEMANTLE ◽  
GREGORY BIGOT ◽  
...  

Endocrine ◽  
2014 ◽  
Vol 48 (1) ◽  
pp. 164-169 ◽  
Author(s):  
Bartłomiej Matejko ◽  
Jan Skupien ◽  
Sandra Mrozińska ◽  
Małgorzata Grzanka ◽  
Katarzyna Cyganek ◽  
...  

Diabetes ◽  
2021 ◽  
Vol 70 (Supplement 1) ◽  
pp. 834-P
Author(s):  
OSAGIE EBEKOZIEN ◽  
NUDRAT NOOR ◽  
BERHANE SEYOUM ◽  
SHIDEH MAJIDI ◽  
NANA-HAWA JONES ◽  
...  

2007 ◽  
Vol 9 (5) ◽  
pp. 421-428 ◽  
Author(s):  
Laura Scrimgeour ◽  
Erin Cobry ◽  
Kim McFann ◽  
Pat Burdick ◽  
Casey Weimer ◽  
...  

2013 ◽  
Vol 37 ◽  
pp. S42
Author(s):  
Shehla N. Chaudhry ◽  
William F. Petrcich ◽  
Julie Maranger ◽  
Brittany L. Hanlon ◽  
Ellen B. Goldbloom ◽  
...  

2019 ◽  
Vol 26 (6) ◽  
pp. 349-355 ◽  
Author(s):  
Stephanie Crossen ◽  
Nicole Glaser ◽  
Hadley Sauers-Ford ◽  
Shelby Chen ◽  
Victoria Tran ◽  
...  

Introduction Management of type 1 diabetes (T1D) is labor-intensive, requiring multiple daily blood glucose measurements and insulin injections. Patients are seen quarterly by providers, but evidence suggests more frequent contact is beneficial. Current technology allows secure, remote sharing of diabetes data and video-conferencing between providers and patients in their home settings. Methods Home-based video visits were provided for six months to pediatric T1D patients with poor glycemic control, indicated by a hemoglobin A1c (HbA1c) ≥8% at enrollment. Video visits were conducted every 4–8 weeks in addition to regularly scheduled clinic visits. Dates of clinic visits and HbA1c values were abstracted from the medical record at baseline and six months. Patients were surveyed at video visits regarding technical issues, and after six months a standardized survey was administered to assess satisfaction with video-based care. Results A total of 57 patients enrolled and 36 completed six months of video visits. Patients completing six months averaged 4.0 video visits (SD 1.1). Their frequency of in-person care also increased from 3.2 clinic visits/year at baseline to 3.7 clinic visits/year during the study ( P = 0.04). Mean HbA1c reduction among patients completing six months was 0.8% (95% CI 0.2–1.4%); 94% of these patients were “very satisfied” while 6% were “somewhat satisfied” with the experience. Discussion This study demonstrates that home-based video visits are feasible and satisfactory for pediatric patients with poorly controlled T1D. Furthermore, use of video visits can improve frequency of subspecialty care and resulting glycemic control in this population.


2020 ◽  
Vol 33 (2) ◽  
pp. 185-190
Author(s):  
Suna Selbuz ◽  
Ayşe Derya Buluş

AbstractBackgroundVarious gastrointestinal (GI) symptoms are associated with diabetes. Common GI complaints associated with the manifestation of the disease include abdominal pain, diarrhea, nausea, bloating and vomiting. There have been very few studies examining GI problems of pediatric patients with type 1 diabetes mellitus (T1DM). The aims of this study were to find out the prevalence of GI symptoms in pediatric patients with T1DM and to determine the correlation among such symptoms, duration of diabetes and glycemic control.MethodsOne hundred and thirty-seven (median age 13.2 years, female 45.3%) patients with T1DM were examined. Demographic features, GI symptoms, signs and physical examination findings of the patients were recorded by pediatric gastroenterology specialists for the differential diagnosis and exclusion of other etiologies. Complete blood count, blood glucose, lipid profile, electrolytes, amylase, lipase, celiac antibodies and glycated hemoglobin (HbA1c) levels were evaluated and stool examination was performed. Endoscopy was performed on the patients who had refractory GI complaints. Gastric emptying (GE) time was evaluated using GE scintigraphy.ResultsOverall, 74 (54%) patients had ≥1 GI complaints. Patients often reported gastroesophageal reflux (32.8%) and abdominal pain (18%). The most significant findings in terms of GI symptoms were determined when patients were classified according to the glycemic control status. Reflux and dyspeptic symptoms were significantly more common in poorly or very poorly controlled diabetic patients (p=0.003 and p=0.004, respectively).ConclusionsDiabetes can affect the entire GI tract, and GI symptoms are common in pediatric patients. We recommend that T1DM patients be evaluated for GI symptoms.


Diabetes Care ◽  
1998 ◽  
Vol 21 (7) ◽  
pp. 1146-1153 ◽  
Author(s):  
M. Rosilio ◽  
J.-B. Cotton ◽  
M.-C. Wieliczko ◽  
B. Gendrault ◽  
J.-C. Carel ◽  
...  

2018 ◽  
Vol 6 (11) ◽  
pp. 2035-2039
Author(s):  
Zainab Taha ◽  
Zeinab Eltoum ◽  
Sidiga Washi

BACKGROUND: Type 1 diabetes mellitus (T1DM) is a rapidly growing problem in Sudan as well as other African countries. Children and adolescents with type 1 diabetes have previously been found to have poor glycemic control. Strict glycemic control reduces the incidence and progression of chronic complications. AIM: This study aimed to identify the factors associated with glycemic control among children and adolescents. METHODS: The study was a health-centre based descriptive cross-sectional study. Data on socioeconomic, demographic, disease history, and diabetes-specific variables was obtained. Glycemic control was assessed by measuring glycosylated haemoglobin (HbA1C). Linear regression analysis was done to determine factors associated with glycemic control. RESULTS: One hundred Sudanese children with T1DM aged from (1-18) years were recruited for the study (63 % females). Most of the study children (80%) had high random blood glucose levels. Less than half (40%) suffered from the presence of glucose in their urine and one-quarter of them have urine ketones. Also, Glycosylated haemoglobin (HbA1c) level of the study children showed that more than three-quarters (76%) had poor glycemic control. It was found that there is no relationship between nutritional status and glycemic control. However, there is a relationship between socioeconomic status and glycemic control (P = 0.025) CONCLUSION: To improve metabolic control, more frequent BGM should be encouraged among children and adolescents with T1DM. Emphasis needs to be put on providing families with children with diabetes with the medical, financial and social support for better control of their diabetes.


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