Comparison of Haemoglobin A1c Level in Insulin Pump versus Multi Daily Injections Users for Type One Diabetes Mellitus

Alzahrani, Nawaf N.; Mashrah, Hosam T; Alzahrani, Sultan M.

doi:10.5742/mewfm.2019.93691

Cited by 2 publications

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“…Average age of onset of T1D was 16.2 ( SD = 11.6). Thirty-nine percent of the sample ( n = 11) reported using an insulin pump as their mode of insulin delivery, rather than multiple daily injections, which has been associated with lower HbA1 c [ 48 ]. Seventy-five percent ( n = 21) reported that they had major or minor complications associated with diabetes; 7.1% ( n = 2) indicated they did not have any diabetes-related complication; 17.9 ( n = 5) did not complete this part of the assessment.…”

Section: Resultsmentioning

confidence: 99%

An open trial of app-assisted acceptance and commitment therapy (iACT) for eating disorders in type 1 diabetes

et al. 2021

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Background Eating disorders (EDs) among individuals with type 1 diabetes (T1D) increase the risk of early and severe diabetes-related medical complications and premature death. Conventional eating disorder (ED) treatments have been largely ineffective for T1D patients, indicating the need to tailor treatments to this patient population and the unique conditions under which ED symptoms emerge (in the context of a chronic illness with unrelenting demands to control blood glucose, diet and exercise). The current study was a pilot open trial of iACT, a novel intervention for EDs in T1D grounded in Acceptance and Commitment Therapy (ACT). iACT was based on the premise that ED symptoms emerge as individuals attempt to cope with T1D and related emotional distress. iACT taught acceptance and mindfulness as an alternative to maladaptive avoidance and control, and leveraged personal values to increase willingness to engage in T1D management, even when it was upsetting (e.g., after overeating). A tailored mobile application (“app”) was used in between sessions to facilitate the application of ACT skills in the moment that individuals are making decisions about their diabetes management. Methods Adults with T1D who met criteria for an ED completed 12 sessions of iACT (with three optional tapering sessions). In addition to examining whether treatment was acceptable and feasible (the primary aim of the study), the study also examined whether iACT was associated with increased psychological flexibility (i.e., the ability to have distressing thoughts/feelings about diabetes while pursuing personally meaningful values), and improvements in ED symptoms, diabetes management and diabetes distress. Results Treatment was acceptable to T1D patients with EDs and feasible to implement. Participants reported increased psychological flexibility with diabetes-related thoughts/feelings, and less obstruction and greater progress in pursuing personal values. There were large effects for change in ED symptoms, diabetes self-management and diabetes distress from baseline to end-of-treatment (Cohen’s d = .90–1.79). Hemoglobin A1c also improved, but the p-value did not reach statistical significance, p = .08. Conclusions Findings provide preliminary evidence for iACT to improve outcomes for T1D patients with EDs and support further evaluation of this approach in a controlled trial. Trial registration NCT02980627. Registered 8 July 2016.

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Section: Resultsmentioning

confidence: 99%

An open trial of app-assisted acceptance and commitment therapy (iACT) for eating disorders in type 1 diabetes

et al. 2021

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“…12 Comparing these findings with that of SWEET Registry which analyzed the data entered from 48 centers mainly in Europe from 2010-2015 were the median HbA1C was 7.8 and 14 centers had a median of <7.5, in these centers > 40 % of their patients where on Insulin pumps and 4% on CGM. 13,14 A clinical study involving 17 clinics done in Yorkshire UK showed that only 14.7% of their patient had the recommended HbA1C level of < 7.5. 15 In this cohort about half of the patients were on conventional mixed Insulin vails or pens, twice daily injection and blood sugar monitoring, this indicates that the center is far away from achieving intensive insulin therapy in most of the patients.…”

Section: Discussionmentioning

confidence: 99%

Glycemic Control in a Cohort of children with type1 Diabetes Mellitus in Sulaimanyah City

Tayeb¹

2020

MJBU

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Background / Aims: Diabetic control is generally measured by HbA1C, the recent ADA (American Diabetic Association )guideline has put a target of < 7.5% . The aim of this study is to assess the diabetic control in the study sample, based on their HbA1c, and to analyze the factors that may affect diabetic control. Subjects and Methods: This is a prospective questionnaire based cross sectional study. Parents / patients or both filled in the questionnaire, which included demographic characteristics, parents' educational level, insulin regimen and delivering device, duration of diabetes, number of injections, blood sugar monitoring / day, and hospital admissions related to diabetes, and the last the HbA1c. Statistical analysis was done by SPSS version 24; ANOVA was used to asses correlation of HbA1c with different parameters, Chi-square tests were used to compare the categorical data between different groups of patients. Results: A total of 163 patients were included in the study, 47.9% male and 51.2% female. The mean HbA1c was 10.3. Forty-eight-point eight percent of the sample had a HbA1c ≥10, 11% had a HbA1c of < 7.5. The HbA1c increased with age (P < 0.001), and decreased with higher levels of mother's education(P; 0.03), and more blood sugar monitoring {F (3,156) = 4.8, P = 0.003}. Gender, residency, duration of diabetes, insulin regimen, number of injections /days, and hospital admissions had no significant affect. Conclusion: Enhancing parent's education and emphasizing on monitoring of the blood sugar, through reinforcing the role of diabetic educators, has a major impact on diabetic control

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Comparison of Haemoglobin A1c Level in Insulin Pump versus Multi Daily Injections Users for Type One Diabetes Mellitus

Cited by 2 publications

References 0 publications

An open trial of app-assisted acceptance and commitment therapy (iACT) for eating disorders in type 1 diabetes

An open trial of app-assisted acceptance and commitment therapy (iACT) for eating disorders in type 1 diabetes

Glycemic Control in a Cohort of children with type1 Diabetes Mellitus in Sulaimanyah City

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