ISPAD Clinical Practice Consensus Guidelines 2018: Diabetes in adolescence

Cameron, Fergus; Garvey, Katharine C.; Hood, Korey K.; Acerini, Carlo L.; Codner, Ethel

doi:10.1111/pedi.12702

Cited by 146 publications

(165 citation statements)

References 140 publications

(286 reference statements)

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“…The education and treatment team for T2DM ideally should include a nutritionist, psychologist and/or social worker, and exercise physiologist Education in T2DM places greater emphasis on healthy lifestyle habits including behavioral, dietary and physical activity changes than is generally required for T1DM. Education should be provided in a culturally sensitive and age‐appropriate manner Because nearly all youth with T2DM are adolescents, the ISPAD Guidelines for Adolescent Care are appropriate to the education of youth and families with T2DM The entire family will need education to understand the principles of treatment of T2DM and to understand the critical importance of the lifestyle changes required of the entire family to successfully manage a youth with T2DM. Care providers should acknowledge that the initial uncertainty in the diagnosis of diabetes type in some patients can be confusing and anxiety‐provoking for the youth and family.…”

Section: Treatment Of Youth Onset T2dmentioning

confidence: 99%

ISPAD Clinical Practice Consensus Guidelines 2018: Type 2 diabetes mellitus in youth

et al. 2018

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Section: Treatment Of Youth Onset T2dmentioning

confidence: 99%

ISPAD Clinical Practice Consensus Guidelines 2018: Type 2 diabetes mellitus in youth

et al. 2018

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“…Adolescence is a high risk period for the development of complications of T1DM, as optimal glycaemic control is difficult to achieve, due to the effect of hormonal changes and psychosocial factors 13,14 . The first signs of vascular complications appear during adolescence and subclinical manifestations are common, however, hard endpoints, such as overt proteinuria, proliferative retinopathy or cardiovascular events are rare 15,16 .…”

Section: Glycaemic Controlmentioning

confidence: 99%

A new strategy for vascular complications in young people with type 1 diabetes mellitus

et al. 2019

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on behalf of the Adolescent type 1 Diabetes cardio-renal Intervention Trial (AdDIT) study group Abstract Diabetes vascular complications, including cardiovascular disease, diabetic nephropathy and retinopathy, have a negative effect on the long-term prognosis of young people with type 1 diabetes mellitus. Poor glycaemic control and consequent increased HbA1c levels are major risk factors for the development of vascular complications. HbA1c levels are the main focusof current management strategies, however, recommended target is rarely achieved in adolescents. Thus, a clear need exists for improved biomarkers to identify high risk young people at an early stage and to develop new intervention strategies. Evidence is accumulating that early increases in urinary albumin excretion could be predictive of adolescents with type 1 diabetes who are at an increased risk of developing vascular complications, independently of HbA1c levels. These findings present an opportunity to move towards the personalized care of adolescents with type 1 diabetes, which takes into consideration changes in albumin excretion and other risk factors, in addition to HbA1c

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“…Diabetes can result in serious coping problems during the period of puberty, as it is a chronic disease which necessitates continuous monitoring. Adolescents with T1DM may experience a deterioration in metabolic control due to a number of reasons, including the increase in insulin resistance, irregular eating habits, lack of exercise, difficulty in complying with the treatment programme and eating disorders (Cameron, Garvey, Hood, Acerini, & Codner, ). Adolescents with T1DM also experience social problems, such as feeling different from their peers or being unable to join peer groups, and thus they have higher levels of anxiety (Berlin, Hains, Kamody, Kichler, Hains, Kamody, Kichler, & Davies, ).…”

Section: Introductionmentioning

confidence: 99%

Effects of a home‐based nursing intervention programme among adolescents with type 1 diabetes

Gürkan

Bahar

Böber

2019

Journal of Clinical Nursing

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Aims and objective To investigate the effects of a home‐based nursing intervention programme established based on the Health Promotion Model on the health outcomes of adolescents with type 1 diabetes mellitus. Background After diagnosed with diabetes, it is necessary to ensure that nursing care is not limited to the hospital setting but continues at home. Design A quasi‐experimental design with a pre‐ and post‐test control group was used. The researchers have complied with the guidelines of TREND Checklist in presenting this study. Method This study was conducted in İzmir, Turkey, with 71 adolescents (35 in an intervention group and 36 in a control group) diagnosed with type 1 diabetes mellitus who were registered at the paediatric endocrinology outpatient clinics of two hospitals and were selected using the convenience sampling method between June–December 2017. A home‐based nursing intervention programme (5 week) was provided to the intervention group while standard care was provided to the control group. Data were collected at the baseline, and 3 and 6 months after a 5‐week home‐based nursing intervention. Multi‐way and one‐way analysis of variance, the Bonferroni correction, regression analysis, t test, chi‐squared analysis and a structural equation model were used for data analysis of the iterative measurements. Results At the end of the home‐based nursing intervention programme, the HbA1c mean scores significantly decreased, while self‐efficacy perception, frequency of managing diabetes and taking responsibility in managing diabetes increased in the intervention group compared to those in the control group. Frequency of admission to the hospital and average costs were lower in the intervention group than in control group. The home‐based nursing intervention programme using structural equation modelling increased the frequency of managing diabetes and taking responsibility in managing diabetes and decreased HbA1c levels. Conclusion The home‐based nursing intervention programme was effective in decreasing HbA1c levels, increasing the frequency of diabetes management and taking responsibility in managing diabetes, and improving the self‐efficacy of the adolescents. Relevance to clinical practice The home‐based nursing intervention programme can be applied by nurses to ease the transition of adolescents with type 1 diabetes mellitus and their parents to healthy daily life practices and ensure their glycemic controls after being discharged.

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ISPAD Clinical Practice Consensus Guidelines 2018: Diabetes in adolescence

Cited by 146 publications

References 140 publications

ISPAD Clinical Practice Consensus Guidelines 2018: Type 2 diabetes mellitus in youth

ISPAD Clinical Practice Consensus Guidelines 2018: Type 2 diabetes mellitus in youth

A new strategy for vascular complications in young people with type 1 diabetes mellitus

Effects of a home‐based nursing intervention programme among adolescents with type 1 diabetes

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