The Impact of Technology on Current Diabetes Management

Garvey, Katharine C.; Wolfsdorf, Joseph I.

doi:10.1016/j.pcl.2015.04.005

Cited by 12 publications

(8 citation statements)

References 99 publications

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“…The COVID-19 pandemic has forced children and parents to spend many hours together at home, bringing back diabetes care to parents. Our observational real-life study confirms the positive effect of parental care in T1D young children, regardless of the use of new technologies as previously demonstrated (18,49). We can speculate that similar results were not achieved in adolescents because the management of the disease in these patients remained in their hands even during confinement.…”

Section: Discussionsupporting

confidence: 86%

Glycemic Control Improvement in Italian Children and Adolescents With Type 1 Diabetes Followed Through Telemedicine During Lockdown Due to the COVID-19 Pandemic

et al. 2020

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Background/ObjectiveTo minimize the wide spread of coronavirus disease (COVID-19) pandemic, Italy was placed in an almost complete lockdown state that forced people to “stay at home”. Aim of this study was to evaluate the effects of lockdown on glycemic control in children and adolescents with type 1 diabetes (T1D) followed through telemedicine.Subjects/MethodsThis observational study involved patients with T1D using the real-time continuous glucose monitoring (CGM) Dexcom G6®. Ambulatory glucose profile data from the 3-months before schools closure (November 26, 2019–February 23, 2020; T0) and from the 3-months of consecutive lockdown (February 24–May 18, 2020; T1) were compared.ResultsSixty-two children and adolescents (11.1 ± 4.37 years, 50% males) with T1D (median time disease 3.67 years) were enrolled in the study. Insulin total daily dose was unchanged, while time spent on physical activities was decreased (p<0.0001). Despite the lack of statistical significance, median value of the glucose management indicator decreased from 7.4% to 7.25%. Glucose standard deviation (p<0.0001) and coefficient of variation (p=0.001) improved across the study. Median time in range increased from 60.5% to 63.5% (p=0.008), time above range decreased from 37.3% to 34.1% (p=0.048), and time below range decreased from 1.85% to 1.45% (p=0.001).ConclusionsOverall, in our children and adolescents with T1D glycemic control improved during lockdown. Despite patients were confined to their homes and limited to exercise, our data suggest that the use of real-time CGM, the continuous parental management, and the telemedicine can display beneficial effects on T1D care.

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Section: Discussionsupporting

confidence: 86%

Glycemic Control Improvement in Italian Children and Adolescents With Type 1 Diabetes Followed Through Telemedicine During Lockdown Due to the COVID-19 Pandemic

et al. 2020

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“…Our observational real-life study confirms the positive effect of parental care in T1D very young children and that, though new technologies can potentially improve diabetes outcomes also in this sub-population, maintenance of a good glucose control remains largely dependent on family competence and education [10].…”

Section: Discussionsupporting

confidence: 72%

School and pre-school children with type 1 diabetes during Covid-19 quarantine: The synergic effect of parental care and technology

Schiaffini

Barbetti

Rapini

et al. 2020

Diabetes Research and Clinical Practice

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Introduction: Management of Type 1 Diabetes (T1D) poses numerous challenges, especially for young children and their families. Parental care positively influences the outcomes of children with T1D, while there are often criticisms in school environment. The COVID-19 pandemic has forced children and parents to spend many hours at home and diabetes care has returned mainly in the hands of parents. Aim of the study: To evaluate the effectiveness of exclusive return to parental care in preschool and school children with T1D treated with Tandem Basal IQ system during the COVID-19 pandemic. Patients and methods: 22 children (M:F = 14:8) with T1D have been evaluated. We compared insulin and CGM data (TIR, TBR and TAR) of two periods: PRE-COV and IN-COV, in which children have transitioned from normal school attendance to the exclusive care of their parents.Results: During the IN-COV period a significantly (p < 0.001) higher median value of TIR (66,41%) was observed as compared to PRE-COV period (61,45%). Patients also showed a statistically significant difference (p < 0.002) between the IN-COV period and the PRE-COV period as concerning the TAR metric: respectively 29,86 ± 10,6% vs 34,73 ± 12,8%. The difference between the bolus insulin doses was statistically significant (PRE-COV 5,3 IU/day, IN-COV 7,9 IU/day -p < 0.05). Conclusion:Our observational real-life study confirms the positive effect of parental care in T1D very young children and demonstrates that during the COVID-19 pandemic it was possible to obtain a good glycometabolic compensation despite the significant change in lifestyle.

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“…Despite the last decades’ ongoing actions to support adolescents and parents in self‐managing T1DM (e.g. new technologies, pump treatment, analogue insulin, interventions) (Garvey & Wolfsdorf , Pillay et al . ), not much seems to have changed in regard to the major concerns and challenges adolescents and parents face living with diabetes during the transition from child‐ to adulthood.…”

Section: Discussionmentioning

confidence: 99%

Isolated thoughts and feelings and unsolved concerns: adolescents’ and parents’ perspectives on living with type 1 diabetes – a qualitative study using visual storytelling

Castensøe-Seidenfaden

Teilmann

Kensing

et al. 2017

Journal of Clinical Nursing

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The Impact of Technology on Current Diabetes Management

Cited by 12 publications

References 99 publications

Glycemic Control Improvement in Italian Children and Adolescents With Type 1 Diabetes Followed Through Telemedicine During Lockdown Due to the COVID-19 Pandemic

Glycemic Control Improvement in Italian Children and Adolescents With Type 1 Diabetes Followed Through Telemedicine During Lockdown Due to the COVID-19 Pandemic

School and pre-school children with type 1 diabetes during Covid-19 quarantine: The synergic effect of parental care and technology

Isolated thoughts and feelings and unsolved concerns: adolescents’ and parents’ perspectives on living with type 1 diabetes – a qualitative study using visual storytelling

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