Anthropometric Measurements and Laboratory Investigations in Children and Youth With Type 1 Diabetes Before and During the COVID-19 Pandemic

Silva, Carolina; Zhang, Qian; Bone, Jeffrey; Amed, Shazhan

doi:10.1016/j.jcjd.2022.04.003

Cited by 3 publications

(3 citation statements)

References 53 publications

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“…Findings from this study are in line with recent literature demonstrating the acceptability and benefits of telehealth‐based delivery of diabetes care, which is increasingly becoming a recommended avenue to increase access to care, increase frequency of visits while minimizing travel and time burden, and to monitor patients remotely between visits 19–22 . The SARS‐CoV‐2 pandemic led to a rapid acceleration of expanding the use of telehealth‐based care 23,24 and highlighted its potential as major paradigm shift in diabetes care 25,26 as well as some challenges (e.g., risk of widening disparities and gaps in access particularly with rural populations; concern about less personalized care over time; lower rates of anthropometric and lab measurements) 27–29 . Recent research has demonstrated that most patients and providers have been satisfied with telehealth‐based diabetes care delivery 23,30 .…”

Section: Discussionsupporting

confidence: 84%

“…[19][20][21][22] The SARS-CoV-2 pandemic led to a rapid acceleration of expanding the use of telehealth-based care 23,24 and highlighted its potential as major paradigm shift in diabetes care 25,26 as well as some challenges (e.g., risk of widening disparities and gaps in access particularly with rural populations; concern about less personalized care over time; lower rates of anthropometric and lab measurements). [27][28][29] Recent research has demonstrated that most patients and providers have been satisfied with telehealth-based diabetes care delivery. 23,30 Telehealth-based diabetes care has shown the ability to increase self-efficacy and engagement in care in adolescents and young adults with Type 1 diabetes and other health conditions.…”

Section: Discussionmentioning

confidence: 99%

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‘Much more convenient, just as effective’: Experiences of starting continuous glucose monitoring remotely following Type 1 diabetes diagnosis

et al. 2022

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Aim Initiating continuous glucose monitoring (CGM) shortly after Type 1 diabetes diagnosis has glycaemic and quality of life benefits for youth with Type 1 diabetes and their families. The SARS‐CoV‐2 pandemic led to a rapid shift to virtual delivery of CGM initiation visits. We aimed to understand parents' experiences receiving virtual care to initiate CGM within 30 days of diagnosis. Methods We held focus groups and interviews using a semi‐structured interview guide with parents of youth who initiated CGM over telehealth within 30 days of diagnosis during the SARS‐CoV‐2 pandemic. Questions aimed to explore experiences of starting CGM virtually. Groups and interviews were audio‐recorded, transcribed and analysed using thematic analysis. Results Participants were 16 English‐speaking parents (age 43 ± 6 years; 63% female) of 15 youth (age 9 ± 4 years; 47% female; 47% non‐Hispanic White, 20% Hispanic, 13% Asian, 7% Black, 13% other). They described multiple benefits of the virtual visit including convenient access to high‐quality care; integrating Type 1 diabetes care into daily life; and being in the comfort of home. A minority experienced challenges with virtual care delivery; most preferred the virtual format. Participants expressed that clinics should offer a choice of virtual or in‐person to families initiating CGM in the future. Conclusion Most parents appreciated receiving CGM initiation education via telehealth and felt it should be an option offered to all families. Further efforts can continue to enhance CGM initiation teaching virtually to address identified barriers.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

‘Much more convenient, just as effective’: Experiences of starting continuous glucose monitoring remotely following Type 1 diabetes diagnosis

et al. 2022

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“…Self-reported or home-measured heights, weights, or waist circumferences are likely to have been predominately obtained via telemedicine; nevertheless, they may be much less accurately acquired and gathered than those measured by a health care physician in a home visit. Some studies have presented that switching to telemedicine enabled continuous data gathering during the pandemic; however, accompanying this, the frequency of anthropometric measures sharply fell [44]. Therefore, when using the anthropometric data acquired by CLHLS or other similar databases during COVID-19 to further research ABSI and the progression of various illnesses, one should consider any potential bias from this.…”

Section: Discussionmentioning

confidence: 99%

A Body Shape Index and Its Changes in Relation to All-Cause Mortality among the Chinese Elderly: A Retrospective Cohort Study

et al. 2023

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Although recent evidence has revealed that a body shape index (ABSI) is correlated with the incidence of death among different ethnicities, there remains a paucity of studies investigating the impact of ABSI on mortality within the Chinese elderly. Our objective was to ascertain the link between ABSI, as well as its alterations over time, and all-cause mortality among Chinese aged 65 y and above. A total of 3789 participants were enrolled from the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Cox regressions and restricted cubic splines were employed to assess the association of ABSI and relative changes with all-cause mortality. When nonlinearity was detected, a restricted cubic spline regression was subsequently conducted to compute hazard ratios and 95% confidence intervals. The median survival time was 46 months, and 1342 individuals (35.4%) were reported to have died. ABSI contributed independently to rising death rates among Chinese old populations according to univariate and multivariate Cox regressions. Statistically significant associations were also found stratified by age, sex, and lifestyle. A U-shaped association of ABSI changes with all-cause mortality (p = 0.027) was observed, indicating that old adults with stable ABSI during the follow-up period experienced the lowest risk of mortality. After multivariable adjustment, participants with a 10% reduction in ABSI changes had an increased 9.4% risk of death, while participants with a 10% rise in ABSI changes had an increased 1.9% risk. ABSI and its changes are predictors for all-cause mortality among the elderly Chinese population, which emphasizes the clinical importance of monitoring ABSI and keeping it stable over time.

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Patient Perceptions of Telehealth for Pediatric Type 1 Diabetes During the COVID-19 Pandemic: A Follow-up Study

Niyyati,

Fung,

Zhang

et al. 2023

Canadian Journal of Diabetes

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Anthropometric Measurements and Laboratory Investigations in Children and Youth With Type 1 Diabetes Before and During the COVID-19 Pandemic

Cited by 3 publications

References 53 publications

‘Much more convenient, just as effective’: Experiences of starting continuous glucose monitoring remotely following Type 1 diabetes diagnosis

‘Much more convenient, just as effective’: Experiences of starting continuous glucose monitoring remotely following Type 1 diabetes diagnosis

A Body Shape Index and Its Changes in Relation to All-Cause Mortality among the Chinese Elderly: A Retrospective Cohort Study

Patient Perceptions of Telehealth for Pediatric Type 1 Diabetes During the COVID-19 Pandemic: A Follow-up Study

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