scholarly journals Percepção de responsáveis sobre o envolvimento de crianças e adolescentes diabéticos em ocupações durante o distanciamento social devido à pandemia por covid-19/ Carers perception on the involvement of diabetic children and adolescents in occupations during the social distancing due to the Covid-19 pandemic

2021 ◽  
Vol 5 (3) ◽  
pp. 352-368
Author(s):  
Amanda Venturino Estorque ◽  
Ana Lucia Ferreira ◽  
Luiza Maria Calvano ◽  
Márcia Gonçalves Ribeiro ◽  
Angela Rodrigues Souza e Silva
Keyword(s):  
Diabetes Mellitus ◽  
Children And Adolescents ◽  
Self Care ◽  
University Hospital ◽  
Occupational Performance ◽  
Physical And Mental Health ◽  
Social Distancing ◽  
Body Of Knowledge ◽  
Palabras Clave ◽  
Diabetic Children

Introdução: Para alcançar um estado de saúde física e mental é necessário que os sujeitos se envolvam em ocupações. A pandemia por COVID-19 e a necessidade de distanciamento social, enquanto política de não propagação do vírus, trouxeram impactos nas ocupações das crianças e dos adolescentes diabéticos e, consequentemente, em seu estado de saúde. Objetivo: Compreender as implicações do distanciamento social durante a pandemia por COVID-19 no envolvimento ocupacional de crianças e adolescentes com diabetes atendidos em um hospital universitário pediátrico a partir da percepção de seus responsáveis/familiares. Métodos: Foi realizada a aplicação de questionário por via telefônica a 59 responsáveis/familiares de crianças e adolescentes atendidos no Ambulatório de Diabetes de um hospital universitário pediátrico. Foram incluídas as respostas de 30 responsáveis que relataram mudanças específicas nas ocupações dos pacientes durante o distanciamento social. Os dados coletados foram categorizados de acordo com o modelo canadense do desempenho ocupacional e apresentados de forma descritiva. Resultados: O Autocuidado foi mencionado como impactado em 19 relatos: atividades físicas (9), alimentação (9), sono (1). A Produtividade esteve presente em 10 relatos: estudo (8), brincar (2). O Lazer foi descrito em 21 relatos: mobilidade urbana (16), interações sociais (3), uso de equipamentos eletrônicos (2). Conclusões: Foi possível identificar uma abrupta necessidade de reorganização das ocupações de autocuidado, produtividade e lazer motivados pelo distanciamento social. Esta pesquisa integra um corpo de conhecimento que vem se produzindo no intuito de analisar os impactos da pandemia por COVID-19 na vida ocupacional das pessoas assistidas pela terapia ocupacional.Palavras-chave: Diabetes Mellitus. Pediatria. Ocupações. Infecções por Coronavírus. Terapia Ocupacional. AbstractIntroduction: To achieve a state of physical and mental health, it is necessary that people get involved in occupations. The COVID-19 pandemic and the need for social distancing, as a policy for not spreading the virus, has caused impacts on the daily occupations of diabetic children and adolescents and, consequently, on their health status. Objective: To understand the implications of social distancing during the COVID-19 pandemic on the occupational involvement of children and adolescents with diabetes treated at a university pediatric hospital from the perspective of their parents/guardians. Method: A questionnaire was administered by resente to 59 parents/guardians of children and resentetes treated at the Diabetes Ambulatory of a pediatric university hospital. Responses from 30 caregivers who reported specific changes in patients’ occupations during social distance were included. The collected data were categorized according to the Canadian model of occupational performance and presented in a descriptive way. Results: The Self-Care was mentioned as impacted in 19 reports: physical activities (9), food (9), sleep (1). The Productivity was resente in 10 reports: study (8), play (2). Leisure was described in 21 reports: urban mobility (16), social interactions (3), use of electronic equipment (2). Conclusion: It was possible to identify na abrupt need to reorganize self-care, productivity and leisure occupations motivated by social detachment. This research integrates a body of knowledge that has been produced in order to analyze the impacts of the COVID-19 pandemic on the occupational life of people assisted by occupational therapy.Keywords: Diabetes Mellitus. Pediatrics. Occupations. Coronavirus Infections. Occupational Therapy. ResumenIntroducción: Para lograr un estado de salud física y mental, es necesario que los sujetos estén involucrados en ocupaciones. La pandemia de COVID-19 y la necesidad del aislamiento social, en relación a política de no propagación del virus, trajo impactos en las ocupaciones diarias de los niños y adolescentes diabéticos y, en consecuencia, en su estado de salud. Objetivo: Comprender las implicaciones del aislamiento social durante la pandemia COVID-19 en la participación ocupacional de niños y adolescentes con diabetes atendidos en un hospital universitario pediátrico desde la perspectiva de sus padres/tutores. Método: Se aplicó un cuestionario telefónico a 59 padres / tutores de niños y adolescentes atendidos en el Ambulatorio de Diabetes de un hospital universitario pediátrico. Se incluyeron las respuestas de 30 cuidadores que informaron cambios específicos en las ocupaciones de los pacientes durante la distancia social. Los datos recopilados se categorizaron de acuerdo con el modelo canadiense de desempeño ocupacional y se presentaron de manera descriptiva. Resultados: El Autocuidado se mencionó como impactado en 19 informes: actividades físicas (9), alimentación (9), sueño (1). El Productividad estuvo presente en 10 informes: estudio (8), juego (2). El Ocio fue descrito en 21 informes: movilidad urbana (16), interacciones sociales (3), uso de equipos electrónicos (2). Conclusión: Se pudo identificar una abrupta necesidad de reorganizar las ocupaciones del autocuidado, la productividad y el ocio motivadas por el aislamiento social. Esta investigación integra un cuerpo de conocimiento que se ha producido con el fin de analizar los impactos de la pandemia COVID-19 en la vida ocupacional de las personas asistidas por terapia ocupacional. Palabras clave: Diabetes Mellitus. Pediatría. Ocupaciones. Infecciones por Coronavirus. Terapia Ocupacional.

scholarly journals DIABETIC KETOACIDOSIS AS THE INITIAL PRESENTATION OF TYPE 1 DIABETES IN CHILDREN AND ADOLESCENTS: EPIDEMIOLOGICAL STUDY IN SOUTHERN BRAZIL

2020 ◽  
Vol 38 ◽  
Author(s):  
Leonardo Calil Vicente Franco de Souza ◽  
Gabriela de Carvalho Kraemer ◽  
Adriana Koliski ◽  
José Eduardo Carreiro ◽  
Mônica Nunes Lima Cat ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 1 Diabetes ◽  
Children And Adolescents ◽  
Diabetic Ketoacidosis ◽  
University Hospital ◽  
Pediatric Endocrinology ◽  
Altered Level ◽  
Duration Of Symptoms ◽  
The Impact

ABSTRACT Objective: To analyze the variables associated with the presence of diabetic ketoacidosis in type 1 diabetes mellitus (T1DM) diagnosis and its impact on the progression of the disease. Methods: We reviewed the records of 274 children and adolescents under 15 years, followed in a Pediatric Endocrinology clinic of a university hospital in Curitiba-PR. They had their first appointment between January 2005 and April 2015. Results: Most patients received their T1DM diagnosis during a diabetic ketoacidosis episode. The associated factors were: lower age and greater number of visits to a physician’s office prior to diagnosis; diabetic ketoacidosis was less frequent in patients who had siblings with T1DM and those diagnosed at the first appointment. Nausea and vomiting, abdominal pain, tachydyspnea, and altered level of consciousness were more common in the diabetic ketoacidosis group. There was no association with socioeconomic status, duration of symptoms before diagnosis, and length of the honeymoon period. Conclusions: Prospective studies are necessary to better define the impact of these factors on diagnosis and disease control. Campaigns to raise awareness among health professionals and the general population are essential to promote early diagnosis and proper treatment of diabetes mellitus in children and adolescents.

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 Psychological and behavioral complications in children and adolescents with type 1 diabetes mellitus in Sohag

2021 ◽  
Vol 28 (1) ◽  
Author(s):  
Saber Hadad ◽  
Magda Mohamed Ali ◽  
Taher Abdelraheem Sayed
Keyword(s):  
Diabetes Mellitus ◽  
Type 1 Diabetes ◽  
Type 1 Diabetes Mellitus ◽  
Children And Adolescents ◽  
Conduct Problems ◽  
Emotional Problems ◽  
P Value ◽  
Peer Problems ◽  
Diabetic Children

Abstract Background Type 1 diabetes mellitus is a chronic disease mainly diagnosed in children and adolescents. It has multiple psychiatric comorbidities. Our aim in this study was to determine the prevalence of psychological and behavioral problems in children and adolescents diagnosed with type 1 diabetes and to find if there is a strong correlation between these problems and different epidemiological- and disease-related factors such as age of the child, duration of diabetes, and other risk factors. We conducted a cross-sectional study and compared between 564 children diagnosed with diabetes mellitus type 1 (who attended Specialized Health Insurance Clinic in Sohag City, Upper Egypt, during the year 2018/2020) and 564 non-diabetic children matched with the diabetic children for age, sex, and socio-economic status. We used “Strengths and Difficulties Questionnaire (SDQ)” to screen for behavioral, social, and emotional problems in diabetic and control children. “SDQ” is a 25-item brief behavioral screening questionnaire that consists of five subscales which are emotional problems, hyperactivity-inattention problems, conduct problems, peer problems, and prosocial behavior subscales. It generates total score and individual score for each subscale. Results In our study, we found that diabetic children had significantly higher prevalence of emotional and behavioral problems than control children (92.37% of diabetic children versus 20.2% of control children had abnormal total SDQ score with P value < 0.001). All subscales of SDQ except prosocial subscale were significantly affected in children with type 1 diabetes mellitus than control children with P value < 0.001. Certain factors were significantly associated with impaired subscales of SDQ scale. We found a positive correlation between age and emotional, hyperactivity and conduct problems as these problems were more frequent in older children. Female children had more hyperactivity and conduct problems than male children (68.6%, 71.7% vs. 58.0%, 62.0%, P 0.002 and 0.003, respectively) while male children were more affected by emotional problems than female children (68% vs. 57.4%, P 0.003). Peer problems were more prevalent in children of parents with higher educational level. Children with positive family history of diabetes were less affected by emotional problems than children with negative family history (50% vs.64.3%, P 0.04). Longer duration of disease was associated with increased prevalence of peer and emotional problems. Poor control of diabetes increased the prevalence of conduct and emotional problems (P 0.007 and 0.022, respectively). Conclusion Children with type 1 diabetes mellitus have more emotional, hyperactivity, conduct, and peer problems than non-diabetic children. These findings indicate a need to screen diabetic children and adolescents for behavioral and emotional problems and treat these problems if found.

scholarly journals Clinical Significance of the Fetuin-A-to-Adiponectin Ratio in Obese Children and Adolescents with Diabetes Mellitus

Children ◽  
2021 ◽  
Vol 8 (12) ◽  
pp. 1155
Author(s):  
Moon-Bae Ahn ◽  
Seul-Ki Kim ◽  
Shin-Hee Kim ◽  
Won-Kyoung Cho ◽  
Jin-Soon Suh ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Insulin Resistance ◽  
Children And Adolescents ◽  
Cell Function ◽  
Obese Children ◽  
Metabolic Complications ◽  
Fetuin A ◽  
Diabetic Children ◽  
Β Cell Function

Fetuin-A and adiponectin are inflammatory cytokines associated with obesity and insulin resistance. This study aimed to examine the fetuin-A-to-adiponectin ratio (FAR) in diabetic children and to determine the role of FAR. A total of 54 children and adolescents with diabetes mellitus (DM) and 44 controls aged 9–16 years were included in this study. Clinical characteristics, including plasma fetuin-A and adiponectin levels, were compared with respect to body mass index (BMI) and diabetes type. Of 98 children, 54.1% were obese, whereas 18.4% were obese and diabetic. FAR was higher in obese children with DM than in non-obese children and also in type 2 DM children than in type 1. FAR showed a stronger association with BMI than with fetuin-A and adiponectin individually, and its association was more prominent in diabetic children than in controls. BMI was a risk factor for increased FAR. Plasma fetuin-A was elevated in obese children, and its association with insulin resistance and β cell function seemed more prominent in diabetic children after adjustment for adiponectin. Thus, FAR could be a useful surrogate for the early detection of childhood metabolic complications in diabetic children, particularly those who are obese.

scholarly journals Glycemic Control and Knowledge among Children and Adolescents with Type 1 Diabetes Mellitus; A Cross-sectional Study

2021 ◽  
Vol 2 (1) ◽  
pp. 1-9
Author(s):  
Nosaiba Ahmed Hussein Abdelseed
Keyword(s):  
Diabetes Mellitus ◽  
Type 1 Diabetes ◽  
Glycemic Control ◽  
Type 1 Diabetes Mellitus ◽  
Children And Adolescents ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Diabetic Children

Purpose: The aim of this study is to evaluate the long-term glycemic control by glycosylated hemoglobin level (HbA1c) and to assess knowledge about the diabetic regimen. The results of glycemic control in this study were compared with the results of a study conducted in 2018 that targeted almost a similar population. Study Design: A Cross-Sectional Study. Subjects and Methods: The study was conducted in October 2012 to December 2012 in a major referral Diabetic Centre. Diabetic children aged 8 to 18 years old who were attending the referral diabetic clinics were included in the study (n = 90). Knowledge of diabetes management was evaluated by using a semi-structured questionnaire and HbA1c results were obtained from medical records, available for only 71. Later, these Glycated Hemoglobin HbA1c results were compared with the results of a recent study carried out among Sudanese diabetic children and adolescents in 2018. Results: Out of 71 diabetic children 78.9% were of poor glycemic control with mean HbA1c 10.36±2.14. On the other hand, the majority had good knowledge about the diabetic treatment including insulin administration, its storage conditions, and also the effect of exercise on blood glucose. However, almost 18.8% of studied participants did not know hypoglycemia symptoms, and about 11% of these patients were unaware of hypoglycemia management. Conclusion: The study has indicated that a significant percentage of studied diabetic children and adolescents had poor glycemic control. Although children’s knowledge about insulin therapy was good, further study must be conducted to investigate factors related to glycemic control among children with type 1 diabetes mellitus (T1DM).  

scholarly journals Intervenciones educativas para la prevención del pie diabético

2021 ◽  
Vol 18 (1) ◽  
pp. 66-80
Author(s):  
Monica Paola Quemba-Mesa ◽  
Nubia Mercedes González-Jiménez ◽  
Maria del Rosario Camargo-Rosas
Keyword(s):  
Diabetes Mellitus ◽  
Diabetic Foot ◽  
Self Care ◽  
Google Scholar ◽  
Redes Sociales ◽  
Calidad De Vida ◽  
Palabras Clave

Introducción: El pie diabético es una de las complicaciones con mayor impacto en la calidad de vida de las personas con Diabetes Mellitus; en este sentido, las intervenciones educativas son fundamentales en la prevención de esta complicación, por lo cual este artículo tiene el objetivo de caracterizar las intervenciones educativas para el autocuidado y prevención de pie diabético en personas con Diabetes Mellitus. Metodología: Revisión narrativa de la literatura. Se realizó la búsqueda con las siguientes palabras clave: “Diabetes Mellitus and Educative intervention and Diabetic foot and Self-care” en español, inglés y portugués, en las bases de datos Ovid Nursing, LILACS, Google Scholar, Medline y fuentes de literatura gris. Se analizaron 56 artículos que cumplieron los criterios de selección, publicados entre los años 2008 al primer trimestre del 2020. Resultados: Surgieron las siguientes categorías de análisis: 1. Tipos de intervenciones (educación de grupo, educación entre pares, visitas presenciales y telefónicas, redes sociales y comunicación participativa); 2. Ítems a tratar en cada intervención (inspección diaria de los pies, ejercicios y demás cuidados); 3. Duración de las Intervenciones; y, 4. Impacto de las intervenciones (resultados obtenidos). Conclusiones: Las diferentes intervenciones educativas al usarse adecuadamente mejoran el nivel de autocuidado de las personas con Diabetes Mellitus y por ende mitigan el desarrollo del pie diabético.

scholarly journals Status of Serum Magnesium Level in Bangladeshi Children and Adolescents with Type 1 Diabetes Mellitus and its Relationship with Glycemic Control

2021 ◽  
Vol 48 (3) ◽  
pp. 16-20
Author(s):  
Shawana Haque ◽  
M A Muttalib ◽  
Ayatun Nesa ◽  
Md Nasir Uddin ◽  
Md Sahadat Hossain ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 1 Diabetes ◽  
Glycemic Control ◽  
Children And Adolescents ◽  
Diabetic Complications ◽  
Serum Magnesium ◽  
Magnesium Level ◽  
Serum Magnesium Level ◽  
Diabetic Children

Type 1 diabetes mellitus is one of the most common endocrine and metabolic disorder in children and adolescents. Alteration of serum magnesium level may be associated with metabolic control and diabetic complications. The aim of the study was to evaluate serum magnesium level and find out its relationship with glycemic control in type 1 diabetic children and adolescents. For this study 80 type 1 diabetic children & adolescents with age range 1 to 18 years and 80 aged matched healthy controls were enrolled from the outpatient department of Changing Diabetes in Children, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine & Metabolic disorders, General Hospital, Dhaka. Using a cross sectional design, we measured anthropometric parameters and serum magnesium level of all study subjects. We also estimate the fasting plasma glucose and HbA1c levels of the diabetic children and adolescents and controls. The mean ± SD of serum magnesium level was significantly lower in patient with type 1 DM compared to control (0.7 ± 0.1 vs 0.8 ± 0.1 mmol/L respectively; p= < 0.001). Lower level of magnesium was found in subjects with poor glycemic control compared to good glycemic control (0.6 ± 0.1 vs 0.8 ± 0.1 mmol/L respectively; p= < 0.001). This study showed that serum magnesium level was lowered  in type 1 diabetic children and adolescents and it was strongly associated with poor glycemic control which potentially contributing to the early development of diabetic complications. Bangladesh Med J. 2019 Sep; 48 (3): 16-20

Bone status of Indian children and adolescents with type 1 diabetes mellitus

2013 ◽  
Author(s):  
Parthasarathy Lavanya ◽  
Khadilkar Anuradha ◽  
Ekbote Veena ◽  
Chiplonkar Shashi ◽  
Mughal Zulf ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 1 Diabetes ◽  
Type 1 Diabetes Mellitus ◽  
Children And Adolescents ◽  
Indian Children ◽  
Bone Status
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