A retrospective regional analysis of outcomes during transition of young people with type 1 diabetes

2018 ◽  
Author(s):  
Melanie Kershaw ◽  
Marie Atkins ◽  
Suzanne Digwood ◽  
Hilary McCoubrey ◽  
Marie McGee ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Young People ◽  
Regional Analysis

Diabetes control is worse in children and young people with type 1 diabetes requiring interpreter support

2018 ◽  
Author(s):  
Jan Idkowiak ◽  
Sabba Elhag ◽  
Vrinda Saraff ◽  
Renuka Dias ◽  
Timothy Barrett ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Young People ◽  
Diabetes Control ◽  
Children And Young People

Early morphofunctional changes in the myocardium in young people with type 1 diabetes can be detected by magnetic resonance imaging

2019 ◽  
Author(s):  
Kirill Popov ◽  
Elena Biryukova ◽  
Irina Bondarenko ◽  
Elena Averkieva ◽  
Alexander Vorontsov
Keyword(s):  
Magnetic Resonance Imaging ◽  
Type 1 Diabetes ◽  
Magnetic Resonance ◽  
Young People ◽  
Resonance Imaging

Parent Experiences Raising Young People with Type 1 Diabetes and Celiac Disease

2015 ◽  
Vol 30 (2) ◽  
pp. 353-363 ◽  
Author(s):  
Kerri Erickson ◽  
Donna Freeborn ◽  
Susanne Olsen Roper ◽  
Barbara Mandleco ◽  
Ashley Anderson ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Celiac Disease ◽  
Young People ◽  
Parent Experiences

Diabetes Technology Experiences Among Latinx and Non-Latinx Youth with Type 1 Diabetes

2021 ◽  
pp. 193229682110292
Author(s):  
David Tsai ◽  
Jaquelin Flores Garcia ◽  
Jennifer L. Fogel ◽  
Choo Phei Wee ◽  
Mark W. Reid ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Young People ◽  
Technology Use ◽  
Private Insurance ◽  
Spanish Speaking ◽  
Positive Attitudes ◽  
Diabetes Technology ◽  
English Speaking ◽  
Continuous Glucose Monitors

Background: Diabetes technologies, such as insulin pumps and continuous glucose monitors (CGM), have been associated with improved glycemic control and increased quality of life for young people with type 1 diabetes (T1D); however, few young people use these devices, especially those from minority ethnic groups. Current literature predominantly focuses on white patients with private insurance and does not report experiences of diverse pediatric patients with limited resources. Methods: To explore potential differences between Latinx and non-Latinx patients, English- and Spanish-speaking young people with T1D ( n = 173, ages 11-25 years) were surveyed to assess attitudes about and barriers to diabetes technologies using the Technology Use Attitudes and Barriers to Device Use questionnaires. Results: Both English- and Spanish-speaking participants who identified as Latinx were more likely to have public insurance ( P = .0001). English-speaking Latinx participants reported higher Hemoglobin A1c values ( P = .003), less CGM use ( P = .002), and more negative attitudes about technology (generally, P = .003; and diabetes-specific, P < .001) than either non-Latinx or Spanish-speaking Latinx participants. Barriers were encountered with equivalent frequency across groups. Conclusions: Latinx English-speaking participants had less positive attitudes toward general and diabetes technology than Latinx Spanish-speaking and non-Latinx English-speaking peers, and differences in CGM use were associated with socioeconomic status. Additional work is needed to design and deliver diabetes interventions that are of interest to and supportive of patients from diverse ethnic and language backgrounds.

Prevention and early help for eating disorders in young people with type 1 diabetes

2021 ◽  
pp. 135910452199417
Author(s):  
Rosie Oldham-Cooper ◽  
Claire Semple
Keyword(s):  
Eating Disorders ◽  
Type 1 Diabetes ◽  
Early Intervention ◽  
Young People ◽  
Current Evidence ◽  
Future Directions ◽  
Team Collaboration ◽  
Children And Young People ◽  
Specialist Services

There is building evidence that early intervention is key to improving outcomes in eating disorders, whereas a ‘watch and wait’ approach that has been commonplace among GPs and other healthcare professionals is now strongly discouraged. Eating disorders occur at approximately twice the rate in individuals with type 1 diabetes compared to the general population. In this group, standard eating disorder treatments have poorer outcomes, and eating disorders result in a particularly high burden of morbidity. Therefore, our first priority must be prevention, with early intervention where disordered eating has already developed. Clinicians working in both eating disorders and diabetes specialist services have highlighted the need for multidisciplinary team collaboration and specific training, as well as improved treatments. We review the current evidence and future directions for prevention, identification and early intervention for eating disorders in children and young people with type 1 diabetes.

scholarly journals Excess all-cause mortality before age 30 in childhood onset type 1 diabetes: data from the Brecon Group Cohort in Wales

2017 ◽  
Vol 103 (1) ◽  
pp. 44-48 ◽  
Author(s):  
Diana R Wasag ◽  
John W Gregory ◽  
Colin Dayan ◽  
John N Harvey
Keyword(s):  
Type 1 Diabetes ◽  
Young People ◽  
Mortality Risk ◽  
Clinical Care ◽  
Adult Life ◽  
Chronic Complications ◽  
Mortality Ratio ◽  
General Populations ◽  
Incident Cases

BackgroundLong-term outcomes in young people with type 1 diabetes continue to be of interest, and may help evaluate the effects of changes to the clinical care of children that have occurred in recent decades.AimsTo identify mortality and its causes before age 30 years in patients developing type 1 diabetes before age 15 years.MethodsSince 1995, paediatricians in Wales have compiled a prospective register of incident cases of type 1 diabetes occurring before age 15 years in Wales (the Brecon Cohort). Their subsequent mortality rates were compared with mortality in the general populations of Wales and England using the patient-years exposure method. Causes of death were ascertained from death certificates and from clinicians.ResultsThe standardised mortality ratio for young people with type 1 diabetes in Wales was 2.91 with no clear evidence of improvement or worsening of mortality risk over time. Most deaths occurred between ages 15 and 30 years although at a slightly younger age than in the general population. There were more deaths with increasing age at diagnosis of diabetes. Ketoacidosis remains the most common cause of death before age 30 years. Hypoglycaemia was difficult to ascertain with certainty but also caused some deaths. In this age group, chronic complications of diabetes were not a cause of mortality.ConclusionsDespite the developments in clinical care in recent years, the mortality risk for people developing type 1 diabetes in childhood remains high in young adult life before the onset of chronic complications.

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