Treatment Challenges for the Young Patient with Type 1 Diabetes

Youssef, Joseph El; Ward, W. Kenneth

doi:10.1089/dia.2015.0148

Cited by 6 publications

(7 citation statements)

References 18 publications

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“…Diabetes devices (insulin pumps, continuous glucose monitors (CGMs)) have been associated with improved glycaemic control and quality of life (Tanenbaum et al, 2017). However, our findings are in line with previous qualitative research that identified, among others, BI concerns to be a significant barrier for avoiding the use of medical equipment (Youssef and Ward, 2015). More specifically, patients with the lowest device uptake rate have been shown to be younger, with shorter duration of T1D and higher distress related to T1D management (Tanenbaum et al, 2017).…”

Section: Discussionsupporting

confidence: 89%

Disordered eating behaviours, body image and social networking in a type 1 diabetes population

Verbist

Condon

2019

J Health Psychol

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The purpose of this study was twofold: to examine predictors of disordered eating behaviours and body image dissatisfaction, including social networking, among type 1 diabetes population, and to qualitatively explore the relationship between type 1 diabetes management and body image. A convenience sample of 121 type 1 diabetes patients ( F = 106; Mage = 36 ± 6.5) was collected via online questionnaires, of which 98 patients responded to two open-ended questions. Young age and negative body image explained 58.8 per cent of disordered eating variance, while body weight and social networking negatively contributed to poor body image (29.9%). Qualitative analysis revealed three themes: no control over body weight, limitation in clothing options and discomfort towards medical equipment.

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Section: Discussionsupporting

confidence: 89%

Disordered eating behaviours, body image and social networking in a type 1 diabetes population

Verbist

Condon

2019

J Health Psychol

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“…Researchers have recommended treatment methods which involve support people (family, friends, coworkers, and health care providers), ongoing assessment of the patients’ skills and understanding of the technology and treatment recommendations, as well as barriers that may arise throughout treatment (psychological disorders, diabetes burnout, diabetes-related family conflict). 33 Today, there is a potential for technology to target all of those areas to facilitate an improved transition process. In this article, we aim to review the current state of technology use in transition-age youth with T1D and to discuss its potential to improve the outcomes during the transition process.…”

Section: Current State Of Glycemic Control In Transition-age Populatimentioning

confidence: 99%

Technology Use in Transition-Age Patients With Type 1 Diabetes

Los

Ulrich

Guttmann‐Bauman

2016

J Diabetes Sci Technol

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Youth with chronic illnesses have the greatest risk for a decline in their health management during transition-age. Because of this demonstrated and well-known issue, research has focused on how to improve the transition of care process. Despite the increasing number of technological devices on the market and the advances in telemedicine modalities available to patients with type 1 diabetes (T1D), the utilization of technology is still suboptimal among patients of transition-age (ages 13-25). This article reviews the available resources, patterns of use in transition-age youth, and explores opportunities to advance technology use in transitioning patients with T1D from pediatric to adult care.

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“…Indeed, numerous studies have confirmed a significant influence of continuous glycemic monitoring on improvement of the metabolic control 1,[15][16][17][18][19][20][21] . However, Telo et al 22 found that only 28% of children with diabetes mellitus type 1 that were offered a CGM accepted a possibility to use it.…”

Section: Discussionmentioning

confidence: 99%

The effects of three month long continuous glucose monitoring in children with type 1 diabetes on multiple daily insulin injections

Bukara-Radujković¹,

Miljković²,

Lakić³

2018

VOJNOSANIT PREGL

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Background/Aim. The Professional System of Continuous Glucose Monitoring, the iPro?2 CGM System (Medtronic) is designed to be worn together with a glucose sensor with an electrode inserted into the subcutaneous tissue, up to 7 days, without insight into the current level of glycemia. After reading data from the iPro?2 device, a realistic picture of the glycemia movement during the period of wearing the device is obtained. The aim of the study was to examine whether objective measurement information collected through the use of professional continuous glucose monitoring (CGM) contribute to improved metabolic control in children with type 1 diabetes mellitus who are on the multiple daily insulin injections (MDI). Methods. The study was conducted on 24 patients (14 girls) aged 5 to 18 years, with an average age 12 ? 3.3 years, in the period from June to December 2016 in the Clinic of Pediatrics, University Clinical Center of the Republic of Srpska in Banja Luka. Glycated hemoglobin (HbA1c) was measured in the laboratory at the start of the trial and 3 months afterwards in order to determine the effect of wearing professional iPro?2 on metabolic control, and then three months later, to test for the long-lasting effects in the absence of iPro?2 monitoring. Results. The initial HbA1c was 7.78 ? 1.17% (min: 5.50%; max: 10.00%). After 3 months, HbA1c showed a statistically significant decrease to 7.34 ? 0.84% (min: 5.60%, max: 8.90%). At the six-month follow-up visit, without implementing professional CGM in the meantime, a significant increase in HbA1c was reached, with the average value of 7.68% ? 0.83% (min: 5.50%, max: 9.10%). Conclusion. This study shows that carrying a professional CGM for 7 days per month, 3 months continuously is associated with certain improvement of metabolic control in children with diabetes who are on MDI without increasing risks of hypoglicemia.

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Treatment Challenges for the Young Patient with Type 1 Diabetes

Cited by 6 publications

References 18 publications

Disordered eating behaviours, body image and social networking in a type 1 diabetes population

Disordered eating behaviours, body image and social networking in a type 1 diabetes population

Technology Use in Transition-Age Patients With Type 1 Diabetes

The effects of three month long continuous glucose monitoring in children with type 1 diabetes on multiple daily insulin injections

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