213 Revisiting diagnoses of type 1 diabetes mellitus on all patients attending the paediatric diabetes service, university hospital galway, ireland; are we missing cases of mody?

This study evaluated the oral health knowledge and habits in Brazilian children with type 1 diabetes mellitus (T1DM). A cross-sectional study was performed between November of 2005 and April of 2006 in a public health university hospital, interviewing 55 diabetic children and 55 non-diabetic control children with a semi-structured questionnaire. As much as 55% of the diabetic children and 35.5% of the non-diabetic children were males with mean age of 11.3 ± 3.7 years and 11.2 ± 3.8 years, respectively. The mean duration of the T1DM was of 4.5 ± 0.8 years. Almost half of the diabetic and non-diabetic children brushed their teeth three times a day. Dental floss was used once a day by 30.9% of diabetics and 18.0% of control subjects. A total of 27% of the diabetics vs. 54.5% of non-diabetics had gingival bleeding. The dentist was aware of the T1DM in 74.5% of the cases. As much as 63.8% of the diabetic subjects had been to the dentist within the previous 12 months. In conclusion, although the diabetic children seemed to have better oral health habits than the control children, there is a need for more information regarding oral hygiene and healthy habits.

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Self-management support of adolescents with type 1 Diabetes Mellitus in the light of healthcare management

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2020-1252 ◽

2021 ◽

Vol 74 (3) ◽

Author(s):

Annanda Fernandes Moura Bezerra Batista ◽

Vanessa Medeiros Nóbrega ◽

Leiliane Teixeira Bento Fernandes ◽

Elenice Maria Cecchetti Vaz ◽

Gabriela Lisieux Lima Gomes ◽

...

Keyword(s):

Diabetes Mellitus ◽

Type 1 Diabetes ◽

Type 1 Diabetes Mellitus ◽

Healthcare Management ◽

University Hospital ◽

Self Management ◽

Support Needs ◽

Management Support ◽

Training Support

ABSTRACT Objectives: to analyze the self-management support needs of adolescents with type 1 diabetes mellitus. Methods: this qualitative research was carried out between September and December 2017 with nine adolescents in the pediatric outpatient clinic of a university hospital and in their homes. The material collected through semi-structured interviews was interpreted by thematic inductive analysis in the light of the healthcare management concept. Results: adolescents’ self-management support needs include longitudinal monitoring by health teams; family support in their training; support from the social network; and a careful look by government officials in the construction of guidelines for dispensing the essential inputs for treatment. However, these needs are not always met satisfactorily, resulting in gaps in this support. Final Considerations: these gaps interfere in resolving health demands. Self-care with fragmented support affects the healthcare management dimensions, making it impossible to meet the uniqueness of adolescents in a comprehensive, expanded and ethical way.

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Neonatal Near Miss among Newborns of Women with Type 1 Diabetes Mellitus

Obstetrics and Gynecology International ◽

10.1155/2019/8594158 ◽

2019 ◽

Vol 2019 ◽

pp. 1-5

Author(s):

Luiza R. Morais ◽

Beatriz C. Patz ◽

Felipe F. Campanharo ◽

Patricia M. Dualib ◽

Sue Y. Sun ◽

...

Keyword(s):

Diabetes Mellitus ◽

Type 1 Diabetes ◽

Type 1 Diabetes Mellitus ◽

Maternal Morbidity ◽

Near Miss ◽

University Hospital ◽

World Health ◽

Health Organization ◽

Neonatal Near Miss

Objective. To investigate the frequency of neonatal near miss (NNM) and associate it with maternal morbidity in newborns of women with type 1 diabetes mellitus (T1DM). Methods. This was a cross-sectional retrospective study from a secondary analysis of data retrieved from medical records of pregnant women with T1DM cared at a Brazilian university hospital between 2005 and 2015. Maternal near miss (MNM) and potentially life-threatening conditions (PTLC) were classified according to the World Health Organization criteria. NNM was classified according to the Pan American Health Organization Neonatal Near Miss Working Group criteria. Association of maternal morbidity with NNM was assessed using chi-square test. Results. There were 122 newborns (NB) among 137 T1DM pregnancies. Thirty-seven NB presented NNM—incidence of 303 NNM per 1000 live births (37/122). NNM was associated with MNM (P<0.001, OR (95% CI): 17.15 (1.85–159.12)). PLTC did not increase the odds of NNM (P=0.07; OR (95% CI): 2.1281 (0.92–4.91)). Seven newborns died, six of them from pregnancies without severe maternal morbidity. 71% of the neonatal death (5/7) occurred in malformed neonates. Conclusion. MNM was associated with NNM among women with T1DM, and PLTC, paradoxically, did not increase NNM.

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Children with type 1 diabetes mellitus: the experience of disease

Revista da Escola de Enfermagem da USP ◽

10.1590/s1980-220x2020011803725 ◽

2021 ◽

Vol 55 ◽

Author(s):

Gabriela Bolzan Aguiar ◽

Maria Estela Diniz Machado ◽

Liliane Faria da Silva ◽

Rosane Cordeiro Burla de Aguiar ◽

Marialda Moreira Christoffel

Keyword(s):

Diabetes Mellitus ◽

Type 1 Diabetes ◽

Type 1 Diabetes Mellitus ◽

Qualitative Data ◽

Disease Process ◽

Structured Interview ◽

University Hospital ◽

Family Participation ◽

Diabetes Mellitus Diagnosis

ABSTRACT Objective: To identify the main challenges faced by children with type 1 diabetes mellitus and describe their coping strategies. Method: Qualitative study conducted with a semi-structured interview with children aged 8 to 11 with type 1 diabetes mellitus diagnosis who received care in the outpatient clinic of a university hospital in the state of Rio de Janeiro, Brazil. The results have been analyzed and categorized as per thematic analysis. Results: Five children have participated. The reports have emerged from the systematization of the qualitative data, in a process of apprehending meaning from statements of children and adolescents, which led to the category “Living with diabetes”, including two subcategories: “Challenges to disease coping” and “Family participation and support in the disease process”. Conclusion: The process of disease coping is observed to occur differently for each child. However, family participation and support, as well as communication with health professionals, are fundamental in this process.

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