A structured therapeutic education program for children and adolescents with type 1 diabetes: an analysis of the efficacy of the "Pediatric Education for Diabetes" project

Mauri, Alessandra; Schmidt, Susanna; Sosero, Valentina; Sambataro, Maria; Nollino, Laura; Fabris, Francesco; Corò, Anna; Scantamburlo, Antonella; Marcon, Maria Lisa; CAZZIOLA-MERLOTTO, Michela; T, Ciani; Tessarin, Michele; Paccagnella, Agostino

doi:10.23736/s2724-5276.17.04634-5

Cited by 7 publications

(6 citation statements)

References 12 publications

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“…The evidence‐base for the effectiveness of structured education versus informal unstructured education in improving glycemic control 34–36 and preventing severe hypoglycemia and restoring awareness of hypoglycemia 37 comes mainly from studies involving adults with diabetes. These studies have been performed mainly in North America, Australia, and Europe and have been extensively reviewed in various publications 6,8,34 .…”

Section: Providing Diabetes Educationmentioning

confidence: 99%

ISPAD Clinical Practice Consensus Guidelines 2022: Diabetes education in children and adolescents

Olinder

DeAbreu

Greene³

et al. 2022

Pediatric Diabetes

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Section: Providing Diabetes Educationmentioning

confidence: 99%

ISPAD Clinical Practice Consensus Guidelines 2022: Diabetes education in children and adolescents

Olinder

DeAbreu

Greene³

et al. 2022

Pediatric Diabetes

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“…This highlights the importance of continuous diabetes education as an integral component of diabetes care, including education regarding self-management and problem-solving skills. Structured diabetes education programs positively impact glycemic control in individuals with T1D, with a clear association between diabetes knowledge and reduction in HgbA1c [14,[25][26][27][28]. Moreover, nurses provide a valuable role in the diabetes team with nurse-led intervention influencing improvements in HgbA1c levels in children and adolescents with T1D [29].…”

Section: Discussionmentioning

confidence: 99%

The Impact of Expanding Diabetes Services on the Trend of Glycemic Control in Children and Adolescents with Type 1 Diabetes

Alissa,

Alhumaidi,

Alzaid

et al. 2024

Pediatric Diabetes

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Objectives. Our aim is to evaluate the impact of initiating a specialized children’s hospital and expanding the diabetes service for children with type 1 diabetes (T1D) on their glycemic control and on acute–diabetes-related complications over a 4-year follow-up period. Methods. This was a retrospective cohort study that included children aged 1–16 years with T1D, diagnosed for at least 1 year, and treated with multiple daily injections (MDI) or continuous subcutaneous insulin infusion (CSII). The study period extended from January 1, 2016 to December 31, 2019. Outcomes included the trend of glycemic control measured by HgbA1c and acute–diabetes-related complications, such as hypoglycemia, hyperglycemia, and diabetic ketoacidosis (DKA), reflected by the number of emergency room (ER) visits. Additionally, the number of visits per patient per year was captured over the 4-year study period. Results. Four hundred ninety-nine patients with T1D were included in the study (48.9% female). The mean age was 13.4 years (±2.0) in the CSII group and 12.4 years (±2.2) in the MDI group. Three thousand nine hundred and six visits were reviewed, with 618 in the CSII group and 3,288 in the MDI group. The mean hemoglobin A1c (HgbA1c) for the whole cohort was 10.56% at the start of the study period in 2016 and dropped by 0.67% to a mean of 9.89% in 2019 (p-value = 0.025). There was a 0.67% decline in the HgbA1c of the MDI group and a 0.47% decrease in the CSII group (p=<0.001). The average number of clinic visits per patient per year increased from 2.6 in 2016 to 2.8 in 2019. ER visits slightly decreased throughout the 4-year period (p-value = 0.46). Conclusion. Increased accessibility of the diabetes care team to children and adolescents with T1D and their families, with more frequent contact with team members, contributes significantly to the improvement of glycemic control.

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“…Therapeutic education for T1D involves the process of transmitting knowledge and developing the skills and behavior required to treat the disease. [5] We used "Diabetes Knowledge Questionnaire (DKQ) which is a 24-item version. The parents of children and adolescents with type 1 diabetes demonstrated a satisfactory level of theoretical knowledge of therapeutic conduct and self-monitoring principles with a mean 17.17 ± 2.63.…”

Section: Knowledgementioning

confidence: 99%

“…Guidelines agree on stressing the importance of therapeutic educational intervention in teaching self-management skills to children and adolescents with T1D [5] .…”

Section: Introductionmentioning

confidence: 99%

Outcomes of Health Care Services Provided to Egyptian Patients with Type 1 Diabetes Mellitus: A Single Centre Experience from a Developing Country

Elhabashy

Elbarbary

Hassan

et al. 2022

Preprint

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Background Despite the existence of evidence-based guidelines for the care of children with diabetes, widespread gaps in knowledge, attitude, and practice remain. Aim of the work: To evaluate the current health care services provided to patients with type 1 diabetes registered in Pediatric and Adolescent Diabetology Unit (PADU), Children's hospital of Ain-Shams University, in terms of metabolic control and complications encountered. Methods This retrospective cross-sectional study was conducted on 672 patients attending PADU. Patients' data was extracted from their records including baseline and follow up examination and investigations. Results Mean age of studied patients is 12.63 ± 3.41 years, mean BMI is 20.11 ± 4.03 (kg/m2) with a median diabetes duration of 5.54 ± 3.07 years. Mean HbA1c of all patients was 8.75 ± 1.94%, with 86.9% of patients having HbA1c > 7%. The mean number of blood glucose monitoring is 2.43 ± 0.64 times/day and mean insulin dose is 1.17 ± 0.27 u/kg/day. Regarding microvascular complications 6.7% had nephropathy ,4.9% had peripheral neuropathy, no retinopathy and 10.85% had hyperlipidemia. Patients with more than 5-year-diabetes duration have significantly higher cholesterol level (167.58 ± 38.02 versus 163.23 ± 35.54 mg/dl), higher LDL (100.23 ± 29.49 versus 95.70 ± 28.11 mg/dl), and lower number of SMBG (2.24 ± 0.66 versus 2.58 ± 0.57 times/day, p < 0.05 for all). Conclusion These results are a testimony of the reality managing diabetes by dynamic teams striving to achieve recommended standards of care for pediatric diabetes in an environment with limited resources.

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A structured therapeutic education program for children and adolescents with type 1 diabetes: an analysis of the efficacy of the "Pediatric Education for Diabetes" project

Cited by 7 publications

References 12 publications

ISPAD Clinical Practice Consensus Guidelines 2022: Diabetes education in children and adolescents

ISPAD Clinical Practice Consensus Guidelines 2022: Diabetes education in children and adolescents

The Impact of Expanding Diabetes Services on the Trend of Glycemic Control in Children and Adolescents with Type 1 Diabetes

Outcomes of Health Care Services Provided to Egyptian Patients with Type 1 Diabetes Mellitus: A Single Centre Experience from a Developing Country

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