The Relationship Between Maternal Awareness, Socioeconomic Situation of Families and Metabolic Control in Children With Type 1 Diabetes Miletus in an Iranian Population

Soheilipour, Fahimeh; Jolfaei, Atefeh Ghanbari; Khodapanahandeh, Fariba; Rajab, Asadollah; Salehiniya, Hamid; Asoudegi, Marjan; Tamannaie, Zeinab; Rahimzadeh, Nahid

doi:10.17795/compreped-26924

Cited by 4 publications

(3 citation statements)

References 20 publications

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“…Regarding family factors, the current study depicted a significant difference between the studied diabetic students' total self-care practice score and their father's education, mothers' education, mother's working condition and socio-economic status. Consistent findings were illustrated by Soheilipour F et al (2015), [39] as they suggested that higher mothers' awareness is positively correlated with better blood sugar control in their children which was mainly mediated by their socioeconomic status. Furthermore, Niba LL et al (2017) [40] asserted that minimal maternal involvement as a primary caregiver in self-care practices of their diabetic children were significantly associated with poor outcome.…”

Section: Discussionsupporting

confidence: 56%

Self-Care Practices of Preparatory School Students with Type 1 Diabetes Mellitus in ELBehira Governorate

Hussein¹,

Ramadan²,

ElWahed³

2018

AJNR

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Background: Type 1 diabetes (T1D) is more prevailing disease in adolescence. Intervening in self-care is crucial for disease management and to reduce the risk of diabetes-specific complications. The aim of the study was to assess self-care practices of preparatory school students with type 1 Diabetes Mellitus in EL Behira Governorate. Egypt. Subjects: A total number of 300 students constituted the subjects of the study. Research design: A descriptive research design was used. Setting: Data was gained from governmental preparatory schools in El-Behira governorate. Sampling students were chosen by multistage sampling technique. Tools: one tool was used for data collection, a structured interview schedule composed of three parts to collect data about socio-demographic characteristics, students' knowledge about TID, and assessment of students' self-care practices. Results: 53.3% of the studied diabetic preparatory school students have fair total self-care practices score while 29.7% of them have poor self-care practices. A significant difference was revealed between the studied diabetic students' total score of knowledge and self-care practices. 76.7% of the studied diabetic preparatory school students have poor total knowledge score. A significant difference was revealed between the studied diabetic students' total score of knowledge and self-care practices In addition, diabetic students' age, previous hospitalization due to hypo/hyperglycemic coma, duration of disease discovery and socioeconomic status were significantly varied among them in relation to their total knowledge and self-care practices scores. Moreover, diabetic students' gender, father's education, mothers' education, mother's working condition were significantly varied among them in relation to their total self-care practices score. Conclusion and recommendations:The results of the present study concluded that the highest percentage of the studied diabetic preparatory school students have either fair or poor self-care practices and poor total knowledge score, so it is recommended to develop hotlines, mass media campaigns for dissemination of accurate information about juvenile diabetes and establishing an accurate surveillance and documentation system of diabetic students for easy accessibility and provision of accurate information.

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Section: Discussionsupporting

confidence: 56%

Self-Care Practices of Preparatory School Students with Type 1 Diabetes Mellitus in ELBehira Governorate

Hussein¹,

Ramadan²,

ElWahed³

2018

AJNR

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“…This could be explained by the fact that most often the mother is the primary caregiver in pediatric patients. Studies by Al-Odayani et al [ 40 ] and Soheilipour et al [ 41 ] have reported that children of mothers with more knowledge of diabetes had improved glycaemic control underscoring the importance of the mother`s level of education in the care of diabetic children.…”

Section: Discussionmentioning

confidence: 99%

Predictors of glucose control in children and adolescents with type 1 diabetes: results of a cross-sectional study in Cameroon

et al. 2017

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BackgroundIn sub-Saharan Africa the prognosis of children with type 1 diabetes is poor. Many are not diagnosed and those diagnosed have a dramatically reduced life expectancy (less than one year). The purpose of this study was to identify the predictors of glucose control in children and adolescents with type 1 diabetes.MethodsThis hospital based cross-sectional study involved 76 children/adolescents (35 boys and 41 girls, mean age of 15.1 ± 3.1 years) with type 1 diabetes included in the “Changing Diabetes in Children” (CDiC) program and attending the clinics for children living with type 1 diabetes in the North West Region of Cameroon. Data on glycosylated haemoglobin (HbA1c) was obtained from hospital records of participants. Information on socio-demographic characteristics and diabetes related practices were obtained from participants using a structured questionnaire. Odds ratios (OR) were calculated using logistic regression models to assess the association between determinants and good glyceamic control.ResultsThe study population had a mean HbA1c of 10.3 ± 2.9%. Bivariate analysis indicated that having a mother as the primary caregiver (OR 0.07, 95% CI 0.02–0.2), being on 2 daily insulin injections (OR 0.2, 95% CI 0.1–0.5) and good blood glucose monitoring (BGM) adherence (OR 0.1, 95% CI 0.04–0.3) were significantly (p < 0.001) associated with better HbA1c. Minimal/moderate caregiver involvement in BGM (OR 7.7, 95% CI 2.7–22.0) and insulin injection (OR 14.9, 95% CI 4.8–46.5) were significantly (p < 0.001) associated with poor outcome. Multivariate analysis showed that having a mother as the primary caregiver (OR 0.02, 95% CI 0.002–0.189) was an independent predictor of good glucose control.ConclusionsThis study has shown that the mother’s involvement in the diabetes management of their children and minimal/moderate caregiver involvement in the task of insulin injection are the most important determinants for good and poor glucose control respectively. It is currently unclear whether the direct involvement of the mother is causal or whether “mother as a primary caregiver” is just an indicator for a setting in which good diabetes treatment is possible.Electronic supplementary materialThe online version of this article (doi:10.1186/s13104-017-2534-8) contains supplementary material, which is available to authorized users.

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“…These children can be closely observed and targeted to ensure early intensive management of their diabetes. Certain ethnic groups 7–10 and low‐socioeconomic status were associated with suboptimal metabolic control 8,11–13 in different populations. Personal and clinical characteristics such as older patients, longer duration of diabetes, higher body mass index and less frequent blood glucose monitoring were all associated with elevated HbA1c levels 14,15 …”

Section: Introductionmentioning

confidence: 99%

Predictors of glycemic control in children and adolescents with type 1 diabetes at 12 months after diagnosis

et al. 2022

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Identifying risk factors for suboptimal glycemic control during the first year after diagnosis with type 1 diabetes (T1D) may provide early appropriate and individualized management. Our aim was to study possible predictors of early glycemic control during the first year after diagnosis with T1D in children and adolescents in Jordan. This is a retrospective study conducted through a review of medical records at Jordan University Hospital and the National Centre for Diabetes, Endocrinology and Genetics. Children and adolescents diagnosed with T1D at age younger than 16 years and with diabetes duration of at least 2 years were included. Demographic, clinical and socioeconomic factors were collected, in addition to glycosylated hemoglobin (HbA1c) values during the first year after diagnosis. Average age at diagnosis of the 337 patients who were enrolled in the study was 7.7 ± 3.8 years. HbA1c at diagnosis was 10.9 ± 1.9% (95.64 ± 20.76 mmol/mol). Factors such as the involvement of children's mothers in deciding insulin doses, higher mother's educational level and higher family monthly income were associated with better early glycemic control. HbA1c at 6 months after diagnosis, parental marital status and compliance to counting carbohydrates were significant predictors of glycemic control at 12 months after diagnosis. Many clinical and socioeconomic factors were associated with early glycemic control at 12 months after diagnosis. Modifiable risk factors must be addressed as early as possible to decrease future complications. Children with nonmodifiable risk factors should be identified early for closer observation and providing individualized diabetes care plan.

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The Relationship Between Maternal Awareness, Socioeconomic Situation of Families and Metabolic Control in Children With Type 1 Diabetes Miletus in an Iranian Population

Cited by 4 publications

References 20 publications

Self-Care Practices of Preparatory School Students with Type 1 Diabetes Mellitus in ELBehira Governorate

Self-Care Practices of Preparatory School Students with Type 1 Diabetes Mellitus in ELBehira Governorate

Predictors of glucose control in children and adolescents with type 1 diabetes: results of a cross-sectional study in Cameroon

Predictors of glycemic control in children and adolescents with type 1 diabetes at 12 months after diagnosis

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