scholarly journals Hypoglycemia Among Type 1 Diabetes Patients After Insulin Use in Southwest Ethiopia

2021 ◽  
Vol 12 ◽  
Author(s):  
Tewodros Yosef
Keyword(s):  
Type 1 Diabetes ◽  
Glycemic Control ◽  
Insulin Injection ◽  
Referral Hospital ◽  
Binary Logistic Regression Analysis ◽  
Self Administration ◽  
Southwest Ethiopia ◽  
Factors Associated ◽  
Insulin Use

IntroductionGlycemic control is a valuable goal for people with diabetes; however, the greatest challenge to achieving tight glycemic control is hypoglycemia. Hypoglycemic events are probably common in type 1 diabetes; however, little is known about hypoglycemia in Ethiopia. Therefore, this study aimed to assess the prevalence and the associated factors of hypoglycemia among type 1 diabetes (T1D) patients after insulin use at Metu Karl Referral Hospital in southwest Ethiopia.Materials and MethodsA hospital-based cross-sectional study was conducted among 242 T1D patients at Metu Karl Referral Hospital in southwest Ethiopia. The prevalence of hypoglycemia was assessed by a structured questionnaire through a face-to-face interview in which all the possible symptoms of hypoglycemia were included. If the patients reported that they had experienced the symptoms at least two times in a month and the symptoms were relieved upon consuming sugar/candy/honey, such cases were considered to have had a hypoglycemic episode. Binary logistic regression analysis was done to identify the factors associated with the occurrence of hypoglycemia.ResultsOut of 242 T1D patients interviewed, 114 (47.1%) had self-reported hypoglycemia. The most reported symptom of hypoglycemia was sweating (91.7%), followed by dizziness and hunger and nausea with a prevalence of 24.8 and 14.5%, respectively. The study also found that educational level with reading and writing skills up to primary level [adjusted odds ratio, AOR = 0.41; 95% confidence interval, CI (0.19–0.88)] and secondary level and above [AOR = 0.32, 95% CI (0.14–0.70)], poor knowledge of diabetes [AOR = 2.26, 95% CI (1.06–4.84)], good knowledge of insulin self-administration [AOR = 0.54, 95% CI (0.30–0.99)], and duration of insulin use ≥5 years [AOR = 3.93, 95% CI (1.44–10.7)] were factors associated with hypoglycemia.ConclusionsThe prevalence of hypoglycemia was found remarkable. We can conclude that hypoglycemia is of public health importance among T1D patients. Since the study assesses hypoglycemia after insulin injection, this prevalence may be due to the poor practice of insulin injection. Therefore, imparting education on the proper technique of insulin administration should be considered at each follow-up visit.

724-P: Factors Associated with Glycemic Control in People with Type 1 Diabetes (PWT1D) Switched to Once Daily (QD) Insulin Glargine (Gla) 300 U/mL (Gla-300): The European REALI Pooled Database

Diabetes ◽  
2021 ◽  
Vol 70 (Supplement 1) ◽  
pp. 724-P
Author(s):  
DIRK MÜLLER-WIELAND ◽  
PIERRE GOURDY ◽  
RICCARDO C. BONADONNA ◽  
NICK FREEMANTLE ◽  
GREGORY BIGOT ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Glycemic Control ◽  
Insulin Glargine ◽  
Once Daily ◽  
Factors Associated

Factors associated with glycemic control in adult type 1 diabetes patients treated with insulin pump therapy

Endocrine ◽  
2014 ◽  
Vol 48 (1) ◽  
pp. 164-169 ◽  
Author(s):  
Bartłomiej Matejko ◽  
Jan Skupien ◽  
Sandra Mrozińska ◽  
Małgorzata Grzanka ◽  
Katarzyna Cyganek ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Glycemic Control ◽  
Insulin Pump ◽  
Insulin Pump Therapy ◽  
Pump Therapy ◽  
Adult Type ◽  
Factors Associated ◽  
Diabetes Patients

PARENTAL PERCEPTION AND FACTORS ASSOCIATED WITH GLYCEMIC CONTROL IN PEDIATRIC PATIENTS WITH TYPE 1 DIABETES

2002 ◽  
Vol 8 (2) ◽  
pp. 105-108 ◽  
Author(s):  
J. Paul Frindik, MD, FACE ◽  
Jane P. Williams, PhD ◽  
Rae Lynn Johnson, RN, CDE ◽  
Roscoe A. Dykman, PhD
Keyword(s):  
Type 1 Diabetes ◽  
Glycemic Control ◽  
Pediatric Patients ◽  
Parental Perception ◽  
Factors Associated

scholarly journals Adherence to Insulin Pump Behaviors in Young Children With Type 1 Diabetes Mellitus

2016 ◽  
Vol 11 (1) ◽  
pp. 87-91 ◽  
Author(s):  
Susana R. Patton ◽  
Kimberly A. Driscoll ◽  
Mark A. Clements
Keyword(s):  
Diabetes Mellitus ◽  
Type 1 Diabetes ◽  
Blood Glucose ◽  
Glycemic Control ◽  
Young Children ◽  
Type 1 Diabetes Mellitus ◽  
Insulin Pump ◽  
Insulin Use

Background: Parents of young children are responsible for daily type 1 diabetes (T1DM) cares including insulin bolusing. For optimal insulin pump management, parents should enter a blood glucose result (SMBG) and a carbohydrate estimate (if food will be consumed) into the bolus advisor in their child’s pump to assist in delivering the recommended insulin bolus. Previously, pump adherence behaviors were described in adolescents; we describe these behaviors in a sample of young children. Methods: Pump data covering between 14-30 consecutive days were obtained for 116 children. Assessed adherence to essential pump adherence behaviors (eg, SMBG, carbohydrate entry, and insulin use) and adherence to 3 Wizard/Bolus Advisor steps: SMBG–carbohydrate entry–insulin bolus delivered. Results: Parents completed SMBG ≥4 times on 99% of days, bolused insulin ≥3 times on 95% of days, and entered carbohydrates ≥3 times on 93% of days, but they corrected for hyperglycemia (≥250 mg/dl or 13.9 mmol/l) only 63% of the time. Parents completed Wizard/Bolus Advisor steps (SMBG, carbohydrate entry, insulin bolus) within 30 minutes for 43% of boluses. Inverse correlations were found between children’s mean daily glucose and the percentage of days with ≥4 SMBG and ≥3 carbohydrate entries as well as the percentage of boluses where all Wizard/Bolus Advisor steps were completed. Conclusions: Parents of young children adhered to individual pump behaviors, but showed some variability in their adherence to Wizard/Bolus Advisor steps. Parents showed low adherence to recommendations to correct for hyperglycemia. Like adolescents, targeting pump behaviors in young children may have the potential to optimize glycemic control.

834-P: Factors Associated with Optimal Glycemic Control in Children and Adolescents with Type 1 Diabetes: Real-World U.S. Multicenter Study

Diabetes ◽  
2021 ◽  
Vol 70 (Supplement 1) ◽  
pp. 834-P
Author(s):  
OSAGIE EBEKOZIEN ◽  
NUDRAT NOOR ◽  
BERHANE SEYOUM ◽  
SHIDEH MAJIDI ◽  
NANA-HAWA JONES ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Glycemic Control ◽  
Children And Adolescents ◽  
Multicenter Study ◽  
Real World ◽  
Factors Associated

scholarly journals Factors Associated with Glycemic Control in Youth with Type 1 Diabetes Transitioning from Pediatric to Adult Care

2013 ◽  
Vol 37 ◽  
pp. S42
Author(s):  
Shehla N. Chaudhry ◽  
William F. Petrcich ◽  
Julie Maranger ◽  
Brittany L. Hanlon ◽  
Ellen B. Goldbloom ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Glycemic Control ◽  
Adult Care ◽  
Factors Associated

scholarly journals Glycemic Control Rate in Patients With Type 1 Diabetes Treated at a Public Tertiary Referral Hospital in Rio de Janeiro, Brazil

2016 ◽  
Vol 6 (5) ◽  
pp. 135-142
Author(s):  
Raissa Barros Mota ◽  
Elisa Baranski Lamback ◽  
Natasha Reis Lozovey ◽  
Michelle Botelho Caarls ◽  
Mariana Arruda ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Glycemic Control ◽  
Rio De Janeiro ◽  
Referral Hospital ◽  
Tertiary Referral ◽  
Tertiary Referral Hospital

Factors Associated With Glycemic Control: A cross-sectional nationwide study in 2,579 French children with type 1 diabetes

Diabetes Care ◽  
1998 ◽  
Vol 21 (7) ◽  
pp. 1146-1153 ◽  
Author(s):  
M. Rosilio ◽  
J.-B. Cotton ◽  
M.-C. Wieliczko ◽  
B. Gendrault ◽  
J.-C. Carel ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Glycemic Control ◽  
Cross Sectional ◽  
Nationwide Study ◽  
Factors Associated

scholarly journals Predictors of Glucose Control in Children and Adolescents with Type 1 Diabetes: Results of a Cross‑Sectional Study in Khartoum, Sudan

2018 ◽  
Vol 6 (11) ◽  
pp. 2035-2039
Author(s):  
Zainab Taha ◽  
Zeinab Eltoum ◽  
Sidiga Washi
Keyword(s):  
Type 1 Diabetes ◽  
Glycemic Control ◽  
Children And Adolescents ◽  
Cross Sectional Study ◽  
Glycosylated Haemoglobin ◽  
Poor Glycemic Control ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated

BACKGROUND: Type 1 diabetes mellitus (T1DM) is a rapidly growing problem in Sudan as well as other African countries. Children and adolescents with type 1 diabetes have previously been found to have poor glycemic control. Strict glycemic control reduces the incidence and progression of chronic complications. AIM: This study aimed to identify the factors associated with glycemic control among children and adolescents. METHODS: The study was a health-centre based descriptive cross-sectional study. Data on socioeconomic, demographic, disease history, and diabetes-specific variables was obtained. Glycemic control was assessed by measuring glycosylated haemoglobin (HbA1C). Linear regression analysis was done to determine factors associated with glycemic control. RESULTS: One hundred Sudanese children with T1DM aged from (1-18) years were recruited for the study (63 % females). Most of the study children (80%) had high random blood glucose levels. Less than half (40%) suffered from the presence of glucose in their urine and one-quarter of them have urine ketones. Also, Glycosylated haemoglobin (HbA1c) level of the study children showed that more than three-quarters (76%) had poor glycemic control. It was found that there is no relationship between nutritional status and glycemic control. However, there is a relationship between socioeconomic status and glycemic control (P = 0.025) CONCLUSION: To improve metabolic control, more frequent BGM should be encouraged among children and adolescents with T1DM. Emphasis needs to be put on providing families with children with diabetes with the medical, financial and social support for better control of their diabetes.

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