Pediatric Diabetes Education: A Family Affair

Smaldone, Arlene; Lawlor, Margaret T.

doi:10.1007/978-1-60327-208-7_16

Cited by 1 publication

(1 citation statement)

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“…Sustaining intensive diabetes self-management throughout childhood/adolescence relies on the involvement of parents/guardians. 22,23 These observations, coupled with the high rate of youth not meeting glycemic goals, may suggest that responsibility for diabetes tasks is being assumed by youth too quickly without adequate reinforcement of DSME aimed at the child/adolescent with an emphasis on parent/guardian partnership. Youth often cannot apply knowledge consistently without adult partnership and supervision.…”

Section: Discussionmentioning

confidence: 99%

Diabetes Self-Management Education Patterns in a US Population-Based Cohort of Youth With Type 1 Diabetes

et al. 2013

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Purpose The purpose of this study is to describe: 1) the receipt of diabetes self-management education (DSME) in a large, diverse cohort of US youth with type 1 diabetes (T1DM); 2) the segregation of self-reported DSME variables into domains; and 3) the demographic and clinical characteristics of youth who receive DSME. Methods Data are from the US population-based cohort, SEARCH for Diabetes in Youth. A cross-sectional analysis was employed using data from 1273 youth < 20 years of age at time of diagnosis of T1DM. Clusters of 19 self-reported DSME variables were derived using factor analysis and their associations with demographic and clinical characteristics were evaluated using polytomous logistic regression. Results Nearly all participants reported receiving DSME content consistent with ‘survival skills’ (e.g., target blood glucose and what to do for low or high blood glucose), yet gaps in continuing education were identified [e.g., fewer than half of participants reported receiving specific medical nutrition therapy (MNT) recommendations]. Five DSME clusters were explored: Receipt of Specific MNT Recommendations, Receipt of Diabetes Information Resources, Receipt of Clinic Visit Information, Receipt of Specific Diabetes Information, and Met with Educator or Nutritionist. Factor scores were significantly associated with demographic and clinical characteristics, including race/ethnicity, socioeconomic status, and diabetes self-management practices. Conclusions Health care providers should work together to address reported gaps in DSME in order to improve patient care.

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Section: Discussionmentioning

confidence: 99%