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

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.

scholarly journals Oral health knowledge and habits in children with type 1 diabetes mellitus

2009 ◽  
Vol 20 (1) ◽  
pp. 70-73 ◽  
Author(s):  
Crésio Alves ◽  
Márcia Brandão ◽  
Juliana Andion ◽  
Rafaela Menezes
Keyword(s):  
Diabetes Mellitus ◽  
Type 1 Diabetes ◽  
Oral Health ◽  
Type 1 Diabetes Mellitus ◽  
Health Knowledge ◽  
University Hospital ◽  
Cross Sectional ◽  
Oral Health Knowledge ◽  
Diabetic Children

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.

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

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.

Assessment of dental caries and gingival status among a group of type 1 diabetes mellitus and healthy children of South India – a comparative study

2018 ◽  
Vol 31 (12) ◽  
pp. 1305-1310 ◽  
Author(s):  
K.L. Girish Babu ◽  
Priya Subramaniam ◽  
Keerthan Kaje
Keyword(s):  
Diabetes Mellitus ◽  
Type 1 Diabetes ◽  
Dental Caries ◽  
Type 1 Diabetes Mellitus ◽  
Permanent Dentition ◽  
World Health ◽  
Study Group ◽  
Gingival Health ◽  
Diabetic Children

AbstractBackgroundDiabetes mellitus is a metabolic disorder. However, dental caries and periodontal health have not attracted much interest in diabetic patients. This study was carried out to assess the dental caries status and gingival health status in children with type 1 diabetes mellitus (T1DM).MethodsThe study group consisted of 80 children, aged 6–18 years, with T1DM. The dental caries status was recorded using the World Health Organisation (WHO) criteria. Gingival health was assessed using the Loe and Silness gingival index (GI). Data obtained were subjected to statistical analysis.ResultsThe mean dental caries status for primary (decayed, extracted, filled teeth [deft]) and permanent dentition (decayed, missing, filled teeth [DMFT]) scores in diabetic children were 0.44±1.28 and 1.26±2.49, respectively. The GI scores of diabetic children were 0.33±0.48. GI in the study group significantly correlated with DMFT (p<0.001) and deft (p≤0.05).ConclusionsDental caries in primary dentition was lower in diabetic children but was not statistically significant, whereas dental caries in permanent dentition was significantly higher. The gingival condition of diabetic children was healthy.

scholarly journals Prevalência de Lesões de Cárie de Doentes com Diabetes Mellitus Tipo 1 Tratados com Múltiplas Administrações de Insulina e de Indivíduos sem Diabetes

2017 ◽  
Vol 30 (5) ◽  
pp. 402 ◽  
Author(s):  
Diogo Machado ◽  
Ana Coelho ◽  
Anabela Paula ◽  
Francisco Caramelo ◽  
Francisco Carrilho ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 1 Diabetes ◽  
Dental Caries ◽  
Type 1 Diabetes Mellitus ◽  
Plaque Index ◽  
World Health ◽  
Caries Detection ◽  
Nocturnal Hypoglycaemia ◽  
Patients With Diabetes

Introduction: In addition to macro and microvascular complications that are associated with the disease, hyperglycaemia is also a risk factor for several oral complications. The aim of this study is to establish a relationship between dental caries in patients with type 1 diabetes mellitus treated with multiple insulin injections and that of individuals without diabetes. It is also an aim to characterize the oral hygiene habits of this population.Material and Methods: An observational clinical study of analytical and cross-sectional nature was conducted. Thirty patients with type 1 diabetes mellitus and 30 individuals without diabetes were observed and questioned about information regarding their medical history. Oral examination was conducted according to the standards of the World Health Organization and ICDAS was used for caries detection. Statistical analysis was performed and the significance level was set at 5%.Results: Patients with diabetes mellitus showed similar caries levels to that of individuals without diabetes. Patients with diabetes mellitus had a higher dental plaque index. Only 10% of the patients having episodes of nocturnal hypoglycaemia brush their teeth after glucose intake.Discussion: Although there’s some controversy in the literature regarding the prevalence of caries in patients with diabetes mellitus, the results are in agreement with a great number of studies. However, patients with diabetes mellitus have a higher plaque index which can be associated with a higher risk for developing certain oral pathologies.Conclusion: No statistically significant association was found between type 1 diabetes mellitus and dental caries.

scholarly journals Assessment of phsychological well-being and prevalence of depressive symptoms amoung young adults with type-1 diabetes mellitus

2017 ◽  
Vol 6 (1) ◽  
pp. 177
Author(s):  
Anu Anna Jacob ◽  
Divya Deodhar
Keyword(s):  
Diabetes Mellitus ◽  
Type 1 Diabetes ◽  
Young Adults ◽  
Type 1 Diabetes Mellitus ◽  
Well Being ◽  
Diabetic Group ◽  
Adolescents And Young Adults ◽  
World Health ◽  
Icd 10

Background: Depression in adolescents and young adults with type-1 diabetes mellitus has been associated with poor glycemic control and recurrent hospitalizations. The World Health Organization-Five Well- being index (WHO-5) is a simple, short and positively worded screening method to assess the level of emotional well-being and has been validated for use in adolescents with type-1 diabetes mellitus. Aims and objectives to assess the psychological well-being in adolescents and young adults with type-1 diabetes mellitus using the WHO-5 well-being index. To estimate the prevalence of symptoms of depression in type-1 diabetes mellitus using the major (ICD-10) depression inventory (MDI-ICD-10) of the psychiatric research unit.Methods: Study was a prospective study. Cases were patients with type-1 diabetes mellitus who attended the “Juvenile Diabetic Club” in CMC Ludhiana consisting of children and adolescents. Controls were healthy age matched adolescents within the family of the patients. Informed consent was taken, and they were asked to fill up the structured WHO-5 Well-being index (version 1998) questionnaire and the WHO-Major (ICD-10) Depression Inventory (MDI-ICD-10) questionnaire.Results: 36 patients were chosen for the study. There were 20 boys and 16 girls. 12 (33.3%) patients (diabetic group) had scores indicating poor well- being. P value is 0.0455, statistically significant. Among the healthy control (non- diabetic group), all of them had a scores suggesting good well- being.Conclusions: 33% of the diabetic children are depressed compared to the non-diabetic candidates in whom none are depressed.

scholarly journals Children with type 1 diabetes mellitus: the experience of disease

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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