scholarly journals Paediatric Type1 Diabetes Management and Mothers’ Emotional Intelligence Interactions

Author(s):  
Jolanta Žilinskienė ◽  
Linas Šumskas ◽  
Dalia Antinienė

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.

Author(s):  
Jolanta Žilinskienė ◽  
Linas Šumskas ◽  
Dalia Antinienė

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.


2021 ◽  
Vol 1 (120) ◽  
pp. 22-31
Author(s):  
Jolanta Žilinskienė ◽  
Linas Šumskas ◽  
Dalia Antinienė ◽  
Jolita Jonynienė

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.


2012 ◽  
Vol 18 (9) ◽  
pp. 1121-1128 ◽  
Author(s):  
Leehu Zysberg ◽  
Tally Lang ◽  
Anna Zisberg

2020 ◽  
Vol 27 (21) ◽  
pp. 3555-3576
Author(s):  
Jinli Pei ◽  
Shuangshuang Wei ◽  
Yechun Pei ◽  
Hao Wu ◽  
Dayong Wang

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.


2020 ◽  
Vol 33 (6) ◽  
pp. 761-765
Author(s):  
Fariba Tarhani ◽  
Ghobad Heidari ◽  
Alireza Nezami

AbstractObjectivesReduced levels of α-Klotho is associated with the pathogenesis of various diseases including diabetes. In type I diabetes, decrease in Klotho leads to apoptosis of β-cells of pancreases. The aim of this study was to evaluate the levels of α-Klotho in type I diabetic pediatric patients.MethodsIn this cross-sectional single centered study, 46 patients presenting type I diabetes mellitus (case group) and 78 control group under the age of 12, referred to our clinic were included in our study. Serum levels of soluble Klotho were measured by sandwich ELISA in case and control groups. Statistical analysis was conducted for the data recorded via questionnaire.ResultsMean age of the patients in the case and control group was 7.65 ± 3.09 and 7 ± 2.37, respectively. Type I diabetes patients had a significant reduction in the levels of serum Klotho, as compared to controls (p<0.001). However, gender and age-based comparison between patient and control group was not significant.ConclusionsThis study reports a significant decrease in the serum levels of α-Klotho in type 1 diabetic patients. Low levels of Klotho can be associated with diabetic nephropathy and other comorbidities in these patients.


2015 ◽  
Vol 81 (1) ◽  
pp. 93
Author(s):  
J. Kahan ◽  
L.M. Tishberg ◽  
M. Hallweaver

PEDIATRICS ◽  
1994 ◽  
Vol 93 (4) ◽  
pp. 616-621
Author(s):  
Kathleen M. Newkumet ◽  
Monica Martin Goble ◽  
Reuben B. Young ◽  
Paul B. Kaplowitz ◽  
Richard M. Schieken

Objective. We examined hemodynamic responses to a variety of physiologic stimuli in 14 normotensive adolescents with type I diabetes and 45 healthy controls to determine whether structural vascular changes contribute to a reduced vasodilator capacity in adolescent diabetics. We asked, in adolescents with type I diabetes: (1) Are structural vascular changes present? (2) Are changes in the systemic vascular bed reflected in abnormal blood pressure regulation? and (3) Is abnormal vascular reactivity associated with either diabetes duration or control? Methodology. Diabetic subjects were outpatients treated at the Medical College of Virginia, ages 13 to 18 years. Diabetes duration averaged 7.5 years. Each subject underwent an echocardiogram, dynamic and isometric exercise testing, and forearm plethysmography. Results. Compared to controls, diabetic subjects had (1) higher systolic and diastolic blood pressure during dynamic and handgrip exercise, (2) decreased forearm vasodilator capacity in response to ischemia, and (3) an increased aortic peak velocity. Group diastolic filling abnormalities were found, but these did not persist after adjustment for heart rate. The following variables were related to both diabetes duration and control (average glycosylated hemoglobin): (1) diastolic blood pressure during dynamic exercise, (2) resting forearm vascular resistance, and (3) forearm vascular reactivity. In addition, diabetes duration correlated with isometric exercise diastolic blood pressure, and diabetes control correlated with resting diastolic blood pressure. Conclusion. In young diabetics we found that (1) abnormalities of the resistance vessels of the forearm may be present, (2) the degree of vascular change is related to diabetes duration and control, and (3) aortic distensibility may be impaired.


1990 ◽  
Vol 16 (5) ◽  
pp. 389-393 ◽  
Author(s):  
Debra J. Drozda ◽  
Veronica A. Dawson ◽  
Dorothy J. Long ◽  
Lisa S. Freson ◽  
Marka. Sperling

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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