Deterioration in glycemic control on schooldays among children and adolescents with type 1 diabetes: A continuous glucose monitoring-based study

Ding, Yu; Zhang, Wenhao; Wu, Xiumei; Tian, Wenxi; Wang, Xulin; Zheng, Xueying; Luo, Sihui

doi:10.3389/fped.2022.1037261

Cited by 3 publications

(1 citation statement)

References 41 publications

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“…This might be due to the development of problem-solving and planning skills, increased motivation for self-care, and better communication with healthcare providers [ 17 ]. A study by Ding et al showed that better glycemic control was associated with better academic performance among children and adolescents with T1DM, and it suggested that better glycemic control may lead to improved cognitive function and increased school attendance, leading to better academic performance [ 18 ]. Our study found that children and adolescents with parents who had higher education levels scored significantly better in total QoL and treatment barriers, treatment adherence domains, and glycemic control than those who had parents with lower education levels.…”

Section: Discussionmentioning

confidence: 99%

Quality of Life Among Children With Type 1 Diabetes Mellitus in Alahsa: A Cross-Sectional Study

Alhaddad,

Alshakes,

Aljasim

2023

Cureus

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Background: Diabetes mellitus (DM) is the most common endocrine disease in children, and its annual prevalence is increasing worldwide. Health-related quality of life (HRQoL) is a crucial indicator of chronic illnesses such as DM. This study aimed to assess the HRQoL and determine the associated factors among children and adolescents with type 1 DM in Alahsa region in 2022. Methods: An analytical cross-sectional study was conducted in the DiabeterSA center using the Arabic version of the Pediatric Quality of Life Inventory (PedsQl 3.2). All patients aged 5-16 years and diagnosed with type 1 DM were included in the study. Face-to-face interviews were conducted during the patients’ routine visits to the outpatient clinic from September 2022 to January 2023. Result: A total of 254 children aged 5-16 years (mean age: 10.87 ± 2.89 years) were recruited. The mean HRQoL total score reported by the children and adolescents was 72.61 ± 15.36. Older age, higher family socioeconomic status, excellent school performance, and higher parental education level, particularly in mothers, were significantly associated with higher total HRQoL scores. In the regression analysis, male sex (β = -0.157,P = 0.018), older age (β = 0.246, P <0.001), and excellent school performance (β = -0.290, P < 0.001) were identified as independent predictors of the HRQoL total score. Nearly 19% of the participants achieved glycemic control. Conclusion: The quality of life of children and adolescents with type 1 DM in Alahsa region was relatively good. Increased age, good family economic status, and higher parent education levels positively influenced the participants’ quality of life. Therefore, regular evaluation of HRQoL is recommended for children and adolescents with type 1 DM to identify problems and initiate an appropriate intervention for improving child health and the health care system.

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Section: Discussionmentioning

confidence: 99%

Quality of Life Among Children With Type 1 Diabetes Mellitus in Alahsa: A Cross-Sectional Study

Alhaddad,

Alshakes,

Aljasim

2023

Cureus

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Effect of Christmas Holidays on Type 1 Diabetes Mellitus in Users of Glucose Flash Systems

Sebastian-Valles,

Arranz Martin,

Martínez-Alfonso

et al. 2024

Endocrine Practice

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Glycemic Control in Patients with Type 1 Diabetes: Comparison of Holidays versus Schooldays

Al Hayek,

Alwin Robert,

Almonea

et al. 2024

CDR

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Background and Aims: To examine the influence of school life in children and adolescents with type 1 diabetes (T1D) by comparing the glycemic control and Ambulatory Glucose Profile (AGP) between the holidays and schooldays. Methods: This is a retrospective study conducted on 147 patients with T1D (14-19 years) who used an intermittently scanned Continuous Glucose Monitoring (isCGM) system to self-test their glucose levels during the periods of school time and holiday time. A record was maintained of the Continuous Glucose Monitoring (CGM) metrics i.e., Glucose Variability (GV) (%), mean Time in Range (TIR), Time above Range (TAR), Time below Range (TBR), and average time period of the hypoglycemic events during schooldays and the holidays. Results: The study revealed differences between the recorded values during the holidays and schooldays, in % in target 70-180 mg/dL (38.2 vs 49.5; p = 0.039), mean glucose (194 vs 185; p = 0.048), frequency of low glucose events (9.2 vs 5.1; p = 0.036), mean duration of low glucose levels (117 vs 65; p = 0.021), % TBR below 70 mg/dL (2.9 vs 1.45; p = 0.023), % TBR below 54 mg/dL (1.1 vs 0.51; p = 0.031), TAR 181-250 mg/dL (21.1 vs 16.5; p = 0.037) and TAR >250 mg/dL (8.9 vs 6.5; p=0.043). On comparing the HbA1c levels of the study population recorded during the holidays (8.34%) with those recorded during the schooldays (8.13%), the HbA1c values during the school days were observed to be lower; however, no significant changes were noted in the HbA1c level between the holidays and schooldays. Concerning the FreeStyle Libre (FSL) scanning, the frequency during the holidays (n=6.2) was significantly lower than during the schooldays (n=9.5) (p=0.042). Conclusion: From the findings, it appears that children with T1D have good diabetes control during schooldays rather than during the holidays. To improve their glucose control during the holidays, these patients may also benefit from receiving greater attention and guidance. result: The study revealed crucial differences between the recorded values during the holidays and schooldays, in % in target 70-180 mg/dL (38.2 vs 49.5; p = 0.039), mean glucose (194 vs 185; p = 0.048), frequency of low glucose events (9.2 vs 5.1; p = 0.036), mean duration of low glucose levels (117 vs 65; p = 0.021), conclusion: From the findings, it appears that children with T1D have good diabetes control during schooldays rather than during the holidays. In order to improve their glucose control during the holidays, these patients may also benefit from receiving greater attention and guidance.

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Deterioration in glycemic control on schooldays among children and adolescents with type 1 diabetes: A continuous glucose monitoring-based study

Cited by 3 publications

References 41 publications

Quality of Life Among Children With Type 1 Diabetes Mellitus in Alahsa: A Cross-Sectional Study

Quality of Life Among Children With Type 1 Diabetes Mellitus in Alahsa: A Cross-Sectional Study

Effect of Christmas Holidays on Type 1 Diabetes Mellitus in Users of Glucose Flash Systems

Glycemic Control in Patients with Type 1 Diabetes: Comparison of Holidays versus Schooldays

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