ISPAD Clinical Practice Consensus Guidelines 2018: Diabetes education in children and adolescents

Phelan, Helen; Lange, Karin; Cengiz, Eda; Gallego, Patricia; Majaliwa, Edna; Pélicand, Julie; Smart, Carmel E.; Hofer, Sabine E.

doi:10.1111/pedi.12762

Cited by 110 publications

(127 citation statements)

References 85 publications

(301 reference statements)

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“…The quality of the educational interventions was assessed using the International Society for Pediatric and Adolescent Diabetes (ISPAD) recommendations, according to the 19 key criteria selected by Colson et al These recommendations evaluate the impact of educational interventions on both diabetes knowledge and psychosocial outcomes such as self‐management, and belong to the ISPAD Guidelines from 2009 and 2014, subsequently updated with the new recommendations published in 2018 . The 19 key criteria were organized into three categories: (a) general recommendations, containing seven criteria, (b) universal principles, containing five criteria and (c) characteristics of a structured education programme, containing seven criteria.…”

Section: Methodsmentioning

confidence: 99%

Pre‐empting the challenges faced in adolescence: A systematic literature review of effects of psychosocial interventions for preteens with type 1 diabetes

Velasco

Pals

Skinner

et al. 2020

Endocrino Diabet & Metabol

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Introduction: Numerous psychosocial interventions have been conducted in childrenand adolescents with type 1 diabetes, aiming to improve their self-management and autonomy acquisition. However, these tend to address family conflict and parental perspectives, and a scarce number of interventions explore the outcomes among preteens. This review examined the outcomes of psychosocial interventions for preteens with type 1 diabetes, as an under-researched field to date. Methods:A systematic literature review of intervention studies with randomized controlled trial design, targeting preteens with type 1 diabetes, was conducted.Six databases were searched for publication periods from 1995 to October 2019. Quality of the interventions according to the International Society for Pediatric andAdolescent Diabetes (ISPAD), as well as reporting and effect sizes, were assessed.Results: Twelve studies were selected, covering ten interventions. According to the topics identified, four of these interventions were categorized as self-care programmes, three as psychosocial programmes and three as mixed. All of the interventions, except for one, covered ≥50% of the ISPAD recommendations. Reporting adequacy was negative only in one intervention. Main outcomes were glycemic control and self-management, but effect sizes could only be calculated for half of the interventions with no overall significant effect. Conclusions:This review shows a lack of adequate psychosocial interventions targeting preteens with type 1 diabetes and actively involving them as participants. These intervention's educational programmes and methods should be standardized to guarantee successful results. New technologies and peer support implementation could be a promising pathway when designing these studies. K E Y W O R D Schildren and adolescents, education, psychological aspects, self-management, sociological aspects

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Section: Methodsmentioning

confidence: 99%

Pre‐empting the challenges faced in adolescence: A systematic literature review of effects of psychosocial interventions for preteens with type 1 diabetes

Velasco

Pals

Skinner

et al. 2020

Endocrino Diabet & Metabol

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“…Therefore, it is important that ongoing reflection on a MDT's philosophy regarding the implementation of new diabetes treatment options is a focus of the team's interaction and communication. A high level of continuing education is, of course, a prerequisite for a successful MDT approach to type 1 diabetes .…”

Section: Introductionmentioning

confidence: 99%

Determinants of glycaemic outcome in the current practice of care for young people up to 21 years old with type 1 diabetes under real‐life conditions

et al. 2019

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AimTo determine factors influencing the success of treatment for type 1 diabetes, defined as HbA 1c < 58 mmol/mol (<7.5%), in a large paediatric cohort under real-life conditions. Methods This is a monocentric observational study analysing the determinants of glycaemic outcome (sex, age, comorbidities, sociodemographic factors, diabetes technology) in an entire cohort of people with diabetes aged up to 21 years. Glycaemic outcome was defined as an individual's median HbA 1c and the prevalence of acute complications over this period. ResultsOf 700 young people with type 1 diabetes [age 13.6 years (range: 1.4-20.9 years); diabetes duration 5.8 years (range: 0.1-18.3 years)], 63% were using an insulin pump and 32% any type of continuous glucose monitoring. Mean HbA 1c was 61 mmol/mol [95% confidence interval (CI) 60-62; 7.7%, 95% CI 7.5-7.8]. Some 63% of children aged < 12 years reached HbA 1c (58 mmol/mol (<7.5%) compared with 43% of older participants. The prevalence of severe hypoglycaemia was 2.41 events and that of diabetic ketoacidosis 1.4 events per 100 person-years. Neither type of insulin therapy nor use of continuous glucose monitoring, sex or comorbidity with coeliac disease or thyroiditis was significantly associated with glycaemic outcome. However, age, diabetes duration, having a father not born in Germany, psychiatric comorbidities and family structure were associated with HbA 1c .Conclusions Current technologies and a multidisciplinary team approach allow high numbers of children and adolescents to realize tight glycaemic control with a low prevalence of acute complications. However, age-related challenges, sociodemographic factors and psychological comorbidities are barriers to achieving best possible glycaemic outcome.

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“…Edukasi tahap pertama dilakukan saat pasien pertama terdiagnosis atau selama perawatan di rumah sakit yang meliputi pengetahuan dasar mengenai DM tipe-1, pengaturan makan, insulin (jenis, dosis, cara penyuntikan, penyimpanan, dan efek samping), serta pertolongan pertama kedaruratan DM tipe-1 (hipoglikemia, pemberian insulin saat sakit), sementara tahap kedua dilakukan saat berkonsultasi di poliklinik. 10,26 Dalam penelitian oleh Pulgaron dkk, 27 kemampuan berhitung dan kepercayaan diri orang tua dalam menangani diabetes berhubungan signifikan dengan kadar HbA1c anak.…”

Section: Edukasiunclassified

Diabetes Melitus Tipe-1 pada Anak: Situasi di Indonesia dan Tata Laksana

Pulungan

Annisa

Imada

2019

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Insidens Diabetes Mellitus (DM) Tipe-1 pada anak di dunia dan Indonesia terus meningkat. Berdasarkan data Ikatan Dokter Anak Indonesia (IDAI), tercatat 1220 dengan DM tipe-1 pada tahun 2018. Kesadaran masyarakat dan tenaga kesehatan mengenai DM pada anak masih rendah, yang direfleksikan melalui tingginya angka anak yang terdiagnosis dengan DM tipe-1 saat mengalami ketoasidosis diabetikum mencapai 71% pada tahun 2017. Berdasarkan pedoman IDAI, terdapat lima pilar penanganan DM tipe-1 pada anak: injeksi insulin, pemantauan gula darah, nutrisi, aktivitas fisik, dan edukasi. IDAI merekomendasikan insulin minimal dua kali per hari menggunakan insulin basal dan kerja cepat. Pemantauan gula darah mandiri dilakukan minimal 4-6 kali per hari. Keterlibatan pemegang kebijakan, termasuk pemerintah, dan dukungan masyarakat dibutuhkan agar anak dengan DM tipe 1 tertangani dengan baik.

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ISPAD Clinical Practice Consensus Guidelines 2018: Diabetes education in children and adolescents

Cited by 110 publications

References 85 publications

Pre‐empting the challenges faced in adolescence: A systematic literature review of effects of psychosocial interventions for preteens with type 1 diabetes

Pre‐empting the challenges faced in adolescence: A systematic literature review of effects of psychosocial interventions for preteens with type 1 diabetes

Determinants of glycaemic outcome in the current practice of care for young people up to 21 years old with type 1 diabetes under real‐life conditions

Diabetes Melitus Tipe-1 pada Anak: Situasi di Indonesia dan Tata Laksana

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