Pediatric Type 1 Diabetes: Patients' and Caregivers' Perceptions of Glycemic Control

Rosolowsky, Elizabeth; Yaskina, Maryna; Couch, Robert

doi:10.1016/j.jcjd.2017.07.002

Cited by 4 publications

(8 citation statements)

References 21 publications

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“…Children with T1D are dependent on caregivers to supervise and help them implement their diabetes care plan. 5 In this study, most of the caregivers were aged 40 years and above. This finding is similar to a study conducted among caregivers of children with diabetes in Poland by Kobos and Imiela 27 who reported a mean age of mothers Notes: a Duration of T1D refers to the length of time since the child was first diagnosed; b Family history of T1D means whether any other family member had been diagnosed with T1D.…”

Section: Discussionmentioning

confidence: 87%

“…8 The influence of parental/caregiver knowledge on children's adherence to diabetes care behaviors and recommendations has been documented by several studies. 5 A facility-based study conducted in Uganda found that caregivers with low knowledge about diabetes did not adhere to diabetes care and management recommendations; however, this study did not consider dietary practices. 9 Another study conducted in Tanzanian caregivers reported a significant association between diabetes knowledge and glycated hemoglobin (HbA1c) levels.…”

Section: Introductionmentioning

confidence: 92%

“…3,4 Children with T1D often depend on the assistance of caregivers to help them implement their diabetes care tasks. 5,6 A caregiver's knowledge on T1D in particular, nutritional management is crucial in helping children maintain good metabolic control and ensure proper healthy development. 7 However, in many economically disadvantaged countries such as Uganda access to structured nutrition education can be limited, contributing to poorly controlled diabetes in children with T1D.…”

Section: Introductionmentioning

confidence: 99%

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Caregivers’ Nutrition Knowledge and Dietary Intake of Type 1 Diabetic Children Aged 3–14 Years in Uganda

Ndahura¹,

Munga²,

Kimiywe³

et al. 2021

DMSO

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This study aimed to assess the association between caregiver's level of type 1 diabetes (T1D) nutrition knowledge with children's dietary diversity score (DDS), mean intake of macronutrients, nutrient adequacy ratios (NARs) and mean adequacy ratio (MAR). Research Design and Methods: A cross-sectional analytical study design was used. The study was conducted at 6 diabetes clinics in Uganda among 59 caregivers and 61 children. T1D nutrition knowledge survey (NKS) was used to assess the caregiver's nutrition knowledge, and the 24-hour dietary recall and dietary diversity score (DDS) questionnaires were used to collect data on the child's dietary intake. Results: Majority (93.2%) of the caregivers had low T1D nutrition knowledge. Carbohydrate counting was the least performed nutrition knowledge domain. The children's mean DDS, calorie intake and MAR were 5.7 ± 1.6, 666.7 ± 639.8 kcal and 0.7 ± 0.3, respectively. The mean NARs of carbohydrate, protein, and fat were 0.9 ± 0.3, 0.9 ± 0.4, 0.5 ± 0.5, respectively. There was a significant association between DDS with NARs of carbohydrate, protein, fat, vitamins A, B2, B3, B5, B12, folic acid, zinc and MAR. No formal education was significantly associated with a lower mean NKS score among caregivers (p = 0.039). Caregivers' T1D nutrition knowledge, age and family size explained 14% of variation in the child's dietary diversity (p = 0.041). Conclusion: Despite poor nutrition knowledge among caregivers especially on carbohydrate counting, dietary diversity among children with T1D remained favorable. Excess carbohydrate intake was observed with inadequate intake of proteins, fats and micronutrients (vitamin A, B vitamins and calcium). Caregivers with low education were more likely to register poor nutrition knowledge; therefore, there is need to develop and tailor nutrition education programmes to enhance comprehensive learning among caregivers for improved outcomes.

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Section: Discussionmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

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Caregivers’ Nutrition Knowledge and Dietary Intake of Type 1 Diabetic Children Aged 3–14 Years in Uganda

Ndahura¹,

Munga²,

Kimiywe³

et al. 2021

DMSO

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“…Esto resulta en un estado de shock con sentimientos de dolor, ira y aislamiento debido a la naturaleza compleja, implacable e invasiva de la enfermedad y el enfrentamiento a una reconstrucción de una nueva vida normal 1,2,5,22 . Además de los cambios en los hábitos familiares y estilos de vida, la incertidumbre sobre el futuro de su hijo, los mitos y pensamientos sobre complicaciones agudas y crónicas, hacen que se generen diversos problemas psicosociales para el niño o joven diagnosticado, y su ambiente cercano 4 .…”

Section: Repercusiones Psicosocialesunclassified

Impacto psicosocial de la diabetes mellitus tipo 1 en niños, adolescentes y sus familias. Revisión de la literatura

Henríquez-Tejo¹,

Cartes‐Velásquez

2018

Rev. chil. pediatr.

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ResumenLa diabetes mellitus tipo 1 es la patología endocrina crónica más común en niños. El tratamiento incluye dieta, actividad física, medicación con insulina y un autocontrol adecuado. Este autocontrol puede ser dificultoso, provocando que niños, adolescentes y sus familias sufran diversas complicaciones psicosociales. Existe una relación inversa entre autocontrol y presencia de complicaciones psicosociales, siendo los principales problemas ansiedad y depresión, donde los adolescentes llegan a ser 2,3 veces más propensos a presentar problemas de salud mental. Las familias se ven afectadas inicialmente en el período de debut por un estado de shock, con sentimientos de angustia e ira. Los necesarios cambios de hábitos y estilos de vida pueden generar problemas psicosociales entre los que destacan trastornos ansiosos, depresivos y alimenticios. Posteriormente, el niño o adolescente y su grupo familiar pueden transitar a un nuevo equilibrio caracterizado por un buen autocontrol y adherencia al tratamiento o profundizar los trastornos individuales y grupales, trastornos que pueden reaparecer, especialmente en la adolescencia. El tratamiento integral de la diabetes mellitus tipo 1 requiere atender estos aspectos mediante equipos multidisciplinarios que incluyen profesionales médicos y del ámbito psicosocial. En esta revisión se analizan los principales aspectos relacionados al impacto psicosocial en niños y adolescentes con diabetes mellitus tipo 1 y sus familias. Keywords:Diabetes mellitus type 1; psychosocial impact; family AbstractType 1 diabetes mellitus is the most common chronic endocrine pathology among children. Treatment includes diet, physical activity, insulin medication, and proper self-control. This self-control may be difficult, resulting in children, adolescents and their families suffering diverse psychosocial complications. There is an inverse relationship between self-control and psychosocial complications, the main problems being anxiety and depression, where adolescents are 2.3 times more likely to have mental

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“…6,7 Glycated hemoglobin (hemoglobin A1C) reflects the estimated average blood glucose level within the past 2-3 months. 8,9 This factor is the gold standard for the diagnosis of diabetes, and measuring hemoglobin A1C is an approved method for diagnosing diabetes in most people. 10 The hemoglobin A1C test is more convenient for patients, because it does not require fasting, 11 and a result greater than or equal to 6.5% indicates diabetes.…”

Section: Introductionmentioning

confidence: 99%

The Impact of Biofeedback on Diabetic Patients’ Glycemia

2018

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Background: Complementary medicine claims that biofeedback affects the reduction of blood glycemia. Objective: The current study aimed to determine the effects of biofeedback on decreasing blood glucose levels and tension and increasing the quality of life in diabetic patients. Methods: The current retrospective evidence-based study used pretest-posttest accidental sampling to select a group of 30 diabetic patients admitted to Glenview Clinic in the Aghdasiyeh region, Tehran, Iran, as the sample. Participants were divided into two 15-membered groups, the experiment and the control groups, matched by age and gender. Data gathering tools included the Quality of Life questionnaire in diabetic patients by Thomas et al, the Perceived Tension Index by Cohen et al, a glucometer, and the fasting blood glucose test. Data was analyzed using analysis of covariance (ANCOVA). Results: The results showed that biofeedback training was effective in decreasing blood glucose levels in diabetic patients. Conclusion: Biofeedback can reduce tension and improve the quality of life of diabetic patients; thus, it could be used as a complementary service in healthcare centers.

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Pediatric Type 1 Diabetes: Patients' and Caregivers' Perceptions of Glycemic Control

Cited by 4 publications

References 21 publications

Caregivers’ Nutrition Knowledge and Dietary Intake of Type 1 Diabetic Children Aged 3–14 Years in Uganda

Caregivers’ Nutrition Knowledge and Dietary Intake of Type 1 Diabetic Children Aged 3–14 Years in Uganda

Impacto psicosocial de la diabetes mellitus tipo 1 en niños, adolescentes y sus familias. Revisión de la literatura

The Impact of Biofeedback on Diabetic Patients’ Glycemia

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