Type I diabetes management in a resource poor setting

The functioning of the parents’ emotional sphere is very important to a child’s mental and physical health. This study focused on investigating the association between mothers’ emotional intelligence (EI) and paediatric type I diabetes (T1DM) disease management in their children. We hypothesized that mothers’ EI is associated with T1DM outcomes. Mothers of children with T1DM aged 6-12 years were surveyed. One hundred and thirty-four mothers, the main caregivers of their diabetic children, provided measures of EI and completed a demographic questionnaire. The primary indicator of diabetes management was haemoglobin A1c (HbA1c; the main form of glycosylated haemoglobin). EI scales and subscales were associated with glycaemic management indices. Logistic regression analysis was applied for the assessment of the association between parents’ EI and their paediatric with T1DM disease management. The analysis demonstrated a statistically significant correlation between T1DM management and mothers’ ability to understand and control own emotions, to transform their own negative emotions into positive and to control own negative emotions. Mothers’ EI scales and subscales of understanding and regulating their own emotions, subscales of transforming their own negative emotions into positive ones and controlling their own negative emotions were statistically reliable predictors of glycaemic control in children with T1DM.

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A Cost-Benefit Comparison of Intensive Diabetes Management With Implantable Pumps Versus Multiple Subcutaneous Injections in Patients With Type I Diabetes

Diabetes Care ◽

10.2337/diacare.17.8.847 ◽

1994 ◽

Vol 17 (8) ◽

pp. 847-851 ◽

Cited By ~ 32

Author(s):

M.-J. Haardt ◽

J.-L. Selam ◽

G. Slama ◽

J.-P. Bethoux ◽

C. Dorange ◽

...

Keyword(s):

Diabetes Management ◽

Type I Diabetes ◽

Cost Benefit ◽

Type I ◽

Subcutaneous Injections ◽

Intensive Diabetes Management

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Role of Dietary Gluten in Development of Celiac Disease and Type I Diabetes: Management Beyond Gluten-Free Diet

Current Medicinal Chemistry ◽

10.2174/0929867326666190409120716 ◽

2020 ◽

Vol 27 (21) ◽

pp. 3555-3576

Author(s):

Jinli Pei ◽

Shuangshuang Wei ◽

Yechun Pei ◽

Hao Wu ◽

Dayong Wang

Keyword(s):

Celiac Disease ◽

Diabetes Management ◽

Type I Diabetes ◽

Human Leukocyte ◽

Gluten Free Diet ◽

Type I ◽

Gluten Free ◽

Micronutrient Deficiencies ◽

Wheat Varieties ◽

Nonalcoholic Fatty Liver

Gluten triggers Celiac Disease (CD) and type I diabetes in genetically predisposed population of human leukocyte antigen DQ2/DQ8+ and associates with disorders such as schizophrenia and autism. Application of a strict gluten-free diet is the only well-established treatment for patients with CD, whereas the treatment for patients with celiac type I diabetes may be depend on the timing and frequency of the diet. The application of a gluten-free diet in patients with CD may contribute to the development of metabolic syndrome and nonalcoholic fatty liver disease and may also lead to a high glycemic index, low fiber diet and micronutrient deficiencies. The alteration of copper bioavailability (deficient, excess or aberrant coordination) may contribute to the onset and progress of related pathologies. Therefore, nutrient intake of patients on a gluten-free diet should be the focus of future researches. Other gluten-based therapies have been rising with interest such as enzymatic pretreatment of gluten, oral enzyme supplements to digest dietary gluten, gluten removal by breeding wheat varieties with reduced or deleted gluten toxicity, the development of polymeric binders to suppress gluten induced pathology.

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Parents’ emotional intelligence and children’s type I diabetes management

Journal of Health Psychology ◽

10.1177/1359105312459097 ◽

2012 ◽

Vol 18 (9) ◽

pp. 1121-1128 ◽

Cited By ~ 1

Author(s):

Leehu Zysberg ◽

Tally Lang ◽

Anna Zisberg

Keyword(s):

Emotional Intelligence ◽

Diabetes Management ◽

Type I Diabetes ◽

Type I

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Assessment of the Effect of a Comprehensive Diabetes Management Program on Hospital Admission Rates of Children With Diabetes Mellitus

The Diabetes Educator ◽

10.1177/014572179001600511 ◽

1990 ◽

Vol 16 (5) ◽

pp. 389-393 ◽

Cited By ~ 20

Author(s):

Debra J. Drozda ◽

Veronica A. Dawson ◽

Dorothy J. Long ◽

Lisa S. Freson ◽

Marka. Sperling

Keyword(s):

Diabetes Mellitus ◽

Diabetes Management ◽

Type I Diabetes ◽

Average Length ◽

Medical Center ◽

Management Program ◽

Type I ◽

Number Of Children ◽

Diabetes Management Program ◽

The Impact

Admission records at Children's Hospital Medical Center in Cincinnati were reviewed to determine the impact of a compre hensive diabetes management program on selected indicators of health status in children with diabetes mellitus. Two periods were compared: January 1973 through June 1978 (periodA), prior to institution of the program, and July 1978 through December 1987 (period B). Although the number of children admitted with a diagnosis of type I diabetes not associated with DKA or other diagnoses increased by 10 % during these 10 years, the number of children with diabetic ketoacidosis (DKA) not associated with other diagnoses fell from 58% in period A to 24% in period B. Similarly, average length of stay for the reported DKA admissions decreased from a mean of 5.84 days in period A to a mean of 4. 62 days in period B. This reduction of 1.2 days saved an estimated $342,000 in hospi talization costs. These findings suggest that a comprehensive diabetes management program consisting of medical treatment, education, and psychological support services, has a positive influence on patient outcome and can be cost effective.

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Assessment of knowledge of Saudi female teenagers & their mothers regarding management of type I diabetes in the City of Abha

Journal of Nursing Education and Practice ◽

10.5430/jnep.v7n9p121 ◽

2017 ◽

Vol 7 (9) ◽

pp. 121

Author(s):

Salwa Ibrahim Beshi ◽

Salma Moawad ◽

Sahar M. Yakout

Keyword(s):

Parental Monitoring ◽

Diabetes Management ◽

Type I Diabetes ◽

Diabetes Education ◽

Self Management ◽

Type I ◽

Diabetes Knowledge ◽

Cross Sectional ◽

Convenience Sample ◽

Female Teenagers

Background: Diabetes is predicted to become the seventh leading cause of death in the world by the year 2030. In adolescence self-image is being constructed and diabetes self-care becomes an integral part of daily life. Diabetes management is better when parents remain involved in diabetes care through parental monitoring, a construct frequently measured as parents’ overall knowledge of their adolescents’ illness management. The main aim of this study was to assess the Knowledge of Saudi Female Teenagers and Their Mothers Regarding Management of type I Diabetes in the Abha.Methods: The study was carried out in Abha diabetic center. A descriptive, cross-sectional design was used. A non-probability, convenience sample of diabetic Saudi female teenagers (150) and their mothers (150) was required. The researcher prepared a two-sheet questionnaire. The questionnaire was developed from a modified Simplified Diabetes Knowledge Test (DKT) derived from the Revised Diabetes Knowledge Scale, developed by Lloyd (2011) and Fitzgerald (1998), diabetes self-management and the day care diabetes education questionnaire.Results: More the two third of mothers 30 years old and more, and 46% their level of education secondary school and more but more than two third were home wife. On the other hand, more than two third of diabetic teenage were their age 16-19 years, and 50% intermediate school age. The teenager girls and their mothers (72%, 63%) respectively not participate at any classes related to health education about management. Although only 7% not have any diabetic complication and statistical analysis show highly significant different between response of mothers and their daughters. In general, it is obvious that most of the mother do not aware or do not carefully follow their daughters in respect of diabetes self-management through diet, physical practice and blood glucose level. Also, mothers’ characteristics do not influence on daughters' knowledge level about diabetes self-management. The only factor that has a significant influence on teen females' knowledge was the duration since diagnosed as diabetic.Conclusions: According to the results of the study, it is concluded that both mother and their daughter had lack of awareness and knowledge in most of aspects of diabetes management so the researcher suggested family-based interventions, implementation of home visit programs and integrated ongoing programs of education, monitoring and support for young people and their families living with diabetes are needed. Further research needs and the paradigm used in the present study should be expanded to include fathers, other family members and friends.

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Gamification

Advances in Medical Technologies and Clinical Practice - Handbook of Research on Solving Modern Healthcare Challenges With Gamification ◽

10.4018/978-1-7998-7472-0.ch016 ◽

2021 ◽

pp. 293-319

Author(s):

Diogo Machado ◽

Rui Carvalho ◽

Pedro Brandão

Keyword(s):

Chronic Disease ◽

Diabetes Management ◽

Type I Diabetes ◽

Acceptance Rate ◽

Type I ◽

Current Version ◽

Second Stage ◽

Two Stages ◽

Made In

Diabetes is a chronic disease requiring a strict management. MyDiabetes is a mobile application for type I diabetes management that, as other mHealth applications, faces the challenge of user adherence and motivation. Here the authors describe the application's redesign and the implementation of different gamification techniques to tackle these challenges. The transition to the current version of the application was made in two stages. The first addressed the redesign of the application and started implementing gamification techniques. The second stage improved some of the features and added others. After the second stage, a new survey was conducted to evaluate the implemented features and improvements. While objectives and incentives to increase the number of records were endorsed by 56.5% of users, health directed badges and objectives increased the acceptance rate to 91.3%. Long-term effectiveness of the gamification approach will be done in the future.

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Paediatric Type1 Diabetes Management and Mothers’ Emotional Intelligence Interactions

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18063117 ◽

2021 ◽

Vol 18 (6) ◽

pp. 3117

Author(s):

Jolanta Žilinskienė ◽

Linas Šumskas ◽

Dalia Antinienė

Keyword(s):

Emotional Intelligence ◽

Disease Management ◽

Diabetes Management ◽

Type I Diabetes ◽

Negative Emotions ◽

Haemoglobin A1c ◽

Type I ◽

Type1 Diabetes ◽

Demographic Questionnaire ◽

And Control

The functioning of the parents’ emotional sphere is very important to a child’s mental and physical health. This study focused on investigating the association between mothers’ emotional intelligence (EI) and paediatric type I diabetes (T1DM) disease management in their children. We hypothesized that mothers’ EI is associated with T1DM outcomes. Mothers of children with T1DM aged 6–12 years were surveyed. One hundred and thirty-four mothers, the main caregivers of their diabetic children, provided measures of EI and completed a demographic questionnaire. The primary indicator of diabetes management was haemoglobin A1c (HbA1c; the main form of glycosylated haemoglobin). EI scales and subscales were associated with glycaemic management indices. Logistic regression analysis was applied for the assessment of the association between parents’ EI and their paediatric with T1DM disease management. The analysis demonstrated a statistically significant correlation between T1DM management and mothers’ ability to understand and control own emotions, to transform their own negative emotions into positive and to control own negative emotions. Mothers’ EI scales and subscales of understanding and regulating their own emotions, subscales of transforming their own negative emotions into positive ones and controlling their own negative emotions were statistically reliable predictors of glycaemic control in children with T1DM.

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Interaction of Parenting Style of Mothers and Paediatric Diabetes Management

Baltic Journal of Sport and Health Sciences ◽

10.33607/bjshs.v1i120.1049 ◽

2021 ◽

Vol 1 (120) ◽

pp. 22-31

Author(s):

Jolanta Žilinskienė ◽

Linas Šumskas ◽

Dalia Antinienė ◽

Jolita Jonynienė

Keyword(s):

Logistic Regression ◽

Regression Analysis ◽

Disease Management ◽

Parenting Style ◽

Logistic Regression Analysis ◽

Diabetes Management ◽

Type I Diabetes ◽

Binary Logistic Regression Analysis ◽

Haemoglobin A1c ◽

Type I

Background. Parent-child relationship and parenting style are very important for the child’s mental and physical health. This study was focused on investigating the association between mothers’ parenting style (PS) and their children’s with type I diabetes (T1DM) disease management. We hypothesized that mothers’ PS interact with their children’s T1DM outcomes. Methods. One hundred thirty-one mothers, the main caregivers of their diabetic children, filled in the parenting style and demographic questionnaires. The indicator of diabetes management was Haemoglobin A1c (HbA1c) – the main form of glycosylated haemoglobin. PS scales and subscales were associated with glycaemic management indices. Binary logistic regression analysis was applied for the assessment of the association between mothers’ PS and their children’s with T1DM disease management. Results. While logistic regression analysis did not demonstrate statistically significant interaction of T1DM management and mothers’ PS scales and subscales, cluster analysis showed that in the confrontation with T1DM, the relationships between children and parents were dominated by negative elements of PS: lack of emotional warmth, support, reasoning and especially democratic participation. Conclusion. The results are discussed in light of existing theories and models. Keywords: type 1 diabetes, parenting skills, parenting style, diabetes management.

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