Challenges Experienced by Parents of Emerging Young Adults With Type 1 Diabetes Mellitus During the Transition to College

Ness, Michelle; Saylor, Jennifer; Ji, Xiaopeng; Bell, Ann V.; Habermann, Barbara

doi:10.1177/0145721720943120

Cited by 3 publications

(1 citation statement)

References 27 publications

(46 reference statements)

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“…In addition, complications of diabetes such as diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HHS) which require hospitalizations also increased among young adults during 2006 to 2015 [24]. A number of incriminating factors such as lower priority for self-care among younger adults, complexities of diabetes management, emotional changes during early adulthood, lower levels of HBA1c control due to inadequate follow-up care, higher rates of depression, and stress associated with major life transitions could be responsible for these findings [25][26][27].…”

Section: Discussionmentioning

confidence: 99%

Recent Trends in Diabetes-Associated Hospitalizations in the United States

Rubens

Ramamoorthy

Saxena

et al. 2022

JCM

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The purpose of this study was to examine trends in diabetes-related hospitalizations over the period 2010 to 2019 using Nationwide Inpatient Sample (NIS) to facilitate informed policies regarding diabetes-related prevention and management. Between 2010 and 2019, there were 304 million hospitalizations above 18 years of age, of which 78 million were diabetes-associated hospitalizations. The overall population-adjusted diabetes hospitalizations significantly increased from 3079.0 to 3280.8 per 100,000 US population (relative increase, 6.6%, Ptrend < 0.028). Age-stratified analysis showed that hospitalizations significantly increased for 18–29 years (relative increase, 7.8%, Ptrend < 0.001) while age- and gender-stratified analysis showed that diabetes hospitalization significantly increased for 18–29-year males (relative increase, 18.1%, Ptrend < 0.001). Total hospitalization charge increased from 97.5 billion USD in 2010 to 132.0 billion USD in 2019 (relative increase, 35.4%, Ptrend < 0.001). Our study’s findings suggest that diabetes-associated hospitalizations will continue to increase in the future because recent evidence indicates a reappearance of diabetes complications. It is important to screen, prevent, and control diabetes at a younger age based on the trends observed in our study.

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Section: Discussionmentioning

confidence: 99%

Recent Trends in Diabetes-Associated Hospitalizations in the United States

Rubens

Ramamoorthy

Saxena

et al. 2022

JCM

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Parent and Young Adult Perspectives About the Transition to College During the COVID-19 Pandemic

Ness

2024

The Science of Diabetes Self-Management and Care

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Purpose The purpose of this study was to describe the influence of COVID-19 on parents and their young adults with type 1 diabetes as they navigated the college environment during the COVID-19 pandemic. Participants A sample of 9 college students with type 1 diabetes and their parents were recruited to participate in interviews via purposive sampling methodology. Methods A descriptive, qualitative study was conducted using semi-structured questions via recorded video conferencing interviews. Results Three themes related to navigating type 1 diabetes at college during the pandemic emerged: (1) isolation and mental health: COVID-19-related isolation and loneliness; (2) risk and exposure to COVID-19: balancing risk of COVID-19 with type 1 diabetes; and (3) management of type 1 diabetes on campus during the pandemic: academics, university policies, and their impact on type 1 diabetes. Conclusions Students with type 1 diabetes and their parents had to navigate a complex set of concerns that extended beyond the usual challenges of diabetes management during the COVID-19 pandemic. Providers must provide additional support and incorporate education about type 1 diabetes management strategies to families affected by large-scale health crises.

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Trends and Demographic Disparities in Diabetes Hospital Admissions: Analyses of Serial Cross-Sectional National and State Data, 2008–2017

et al. 2022

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OBJECTIVE To analyze national and state-specific trends in diabetes-related hospital admissions and determine whether disparities in rates of admission exist between demographic groups and geographically dispersed states. RESEARCH DESIGN AND METHODS We conducted serial cross-sectional analyses of the National Inpatient Sample (2008, 2011, 2014, and 2016) and State Inpatient Databases for Arizona, Florida, Kentucky, Iowa, Maryland, Nebraska, New Jersey, New York, North Carolina, Utah, and Vermont for 2008, 2011, 2014, and 2016/2017 among adult patients with type 1 and type 2 diabetes–related ICD codes (ICD-9 [250.XX] or ICD-10 [E10.XXX, E11.XXX, and E13.XXX]. We measured hospitalization rates for people with diabetes (all-cause hospitalizations) and for admissions with a primary diagnosis of diabetes or diabetes-related complications (diabetes-specific hospitalizations) per 10,000 persons per year. RESULTS Nationally, all-cause and diabetes-specific hospitalizations declined by 3.1% (95% CI −5.5, −0.7) and 19.1% (95% CI −21.6, −16.6), respectively, over 2008 to 2016. The analysis of individual states showed that diabetes-specific admissions in individuals ≥65 years old declined during this time (16.3–48.8% decrease) but increased among patients 18–29 years old (10.5–81.5% increase) and that rural diabetes-specific admissions decreased in just over half of the included states (15.2–69.2% decrease). There were no differences in changes in admission rates among different racial/ethnic groups. CONCLUSIONS Overall, rates of diabetes-related hospitalizations decreased over 2008 to 2016/2017, but there were large state-level differences across subgroups of patients. The rise in diabetes hospitalizations among young adults is a cause for concern. These state- and subpopulation-level differences highlight the need for state-level policies and interventions to address disparities in diabetes health care use.

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Challenges Experienced by Parents of Emerging Young Adults With Type 1 Diabetes Mellitus During the Transition to College

Cited by 3 publications

References 27 publications

Recent Trends in Diabetes-Associated Hospitalizations in the United States

Recent Trends in Diabetes-Associated Hospitalizations in the United States

Parent and Young Adult Perspectives About the Transition to College During the COVID-19 Pandemic

Trends and Demographic Disparities in Diabetes Hospital Admissions: Analyses of Serial Cross-Sectional National and State Data, 2008–2017

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