scholarly journals Clinical Utility of Psychoeducational Interventions for Youth with Type 1 Diabetes: A Scoping Review

2021 ◽  
Vol 2 (1) ◽  
pp. 76-108
Author(s):  
Lana Bergmame ◽  
Steven Shaw
Keyword(s):  
Type 1 Diabetes ◽  
Scoping Review ◽  
Clinical Utility ◽  
Psychoeducational Interventions

scholarly journals The Benefits of Carbohydrate Counting in Type 1 Diabetes Mellitus : A Scoping Review

2021 ◽  
Vol 5 (4) ◽  
pp. 395
Author(s):  
Izzati Nur Khoiriani ◽  
Afifah Yasyfa Dhiyanti ◽  
Rizal Fakih Firmansyah ◽  
Dian Handayani
Keyword(s):  
Diabetes Mellitus ◽  
Type 1 Diabetes ◽  
Type 1 Diabetes Mellitus ◽  
Scoping Review ◽  
Carbohydrate Counting

scholarly journals Improving clinical utility of GAD65 autoantibodies by electrochemiluminescence assay and clinical phenotype when identifying autoimmune adult-onset diabetes

Diabetologia ◽  
2021 ◽  
Author(s):  
Yong Gu ◽  
Xiaofan Jia ◽  
Tanwi Vartak ◽  
Dongmei Miao ◽  
Fran Dong ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Type 1 Diabetes ◽  
Clinical Utility ◽  
Insulin Treatment ◽  
Clinical Phenotype ◽  
Adult Onset ◽  
Onset Diabetes ◽  
Adult Onset Diabetes

Abstract Aims/hypothesis It is important to differentiate the two major phenotypes of adult-onset diabetes, autoimmune type 1 diabetes and non-autoimmune type 2 diabetes, especially as type 1 diabetes presents in adulthood. Serum GAD65 autoantibodies (GADA) are the most sensitive biomarker for adult-onset autoimmune type 1 diabetes, but the clinical value of GADA by current standard radiobinding assays (RBA) remains questionable. The present study focused on the clinical utility of GADA differentiated by a new electrochemiluminescence (ECL) assay in patients with adult-onset diabetes. Methods Two cohorts were analysed including 771 diabetic participants, 30–70 years old, from the Action LADA study (n = 6156), and 2063 diabetic participants, 20–45 years old, from the Diabetes in Young Adults (DiYA) study. Clinical characteristics of participants, including requirement of early insulin treatment, BMI and development of multiple islet autoantibodies, were analysed according to the status of RBA-GADA and ECL-GADA, respectively, and compared between these two assays. Results GADA was the most prevalent and predominant autoantibody, >90% in both cohorts. GADA positivity by either RBA or ECL assay significantly discriminated clinical type 1 from type 2 diabetes. However, in both cohorts, participants with ECL-GADA positivity were more likely to require early insulin treatment, have multiple islet autoantibodies, and be less overweight (for all p < 0.0001). However, clinical phenotype, age at diagnosis and BMI independently improved positive predictive value (PPV) for the requirement of insulin treatment, even augmenting ECL-GADA. Participants with GADA detectable by RBA, but not confirmed by ECL, had a phenotype more similar to type 2 diabetes. These RBA-GADA positive individuals had lower affinity GADA compared with participants in which GADA was confirmed by ECL assay. Conclusions/interpretation Detection of GADA by ECL assay, given technical advantages over RBA-GADA, identified adult-onset diabetes patients at higher risk of requiring early insulin treatment, as did clinical phenotype, together allowing for more accurate clinical diagnosis and management. Graphical abstract

1370-P: Pediatric to Adult Transition Interventions and Outcomes in Type 1 Diabetes: A Scoping Review

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 1370-P
Author(s):  
ERIKA L. LUNDGRIN ◽  
JULIA E. BLANCHETTE ◽  
ANDREA MUCCI
Keyword(s):  
Type 1 Diabetes ◽  
Scoping Review ◽  
Adult Transition

scholarly journals Assessing the clinical utility of the diabetes eating problem survey‐revised (DEPS‐R) in adolescents with type 1 diabetes

2019 ◽  
Vol 2 (3) ◽  
Author(s):  
Brianna Ryman ◽  
Jenna MacIsaac ◽  
Tracy Robinson ◽  
Michael R. Miller ◽  
Patricia Herold Gallego
Keyword(s):  
Type 1 Diabetes ◽  
Clinical Utility ◽  
Eating Problem

Responsibility sharing for adolescents with type 1 diabetes: A scoping review

2020 ◽  
pp. 174239532095940
Author(s):  
Lisa Gardener ◽  
Laura Desha ◽  
Helen Bourke-Taylor ◽  
Jenny Ziviani
Keyword(s):  
Type 1 Diabetes ◽  
Scoping Review ◽  
Diabetes Care ◽  
Communication Patterns ◽  
Self Management ◽  
Distinct Mechanism ◽  
Key Stakeholders ◽  
Universal Definition ◽  
Definition Of

Background The term ‘Responsibility Sharing’, albeit poorly defined, has emerged from the diabetes literature, to describe a distinct mechanism for comprehensively managing the characteristic shift in responsibility that underpins the transition to self-management for adolescents. Methods A scoping review, following the PRISMA-ScR guidelines, distilled the literature from seven databases to answer the questions: What is responsibility sharing? Who are the key stakeholders? What factors affect responsibility transaction? What are its recognized outcomes? How is responsibility shared? Results Responsibility sharing is a transactional arrangement between youth and their caregiver/s that functions to repeatedly and flexibly apply ownership to the management of diabetes care tasks, across the course of adolescence. In the main, responsibility sharing was associated with better metabolic and/or psychosocial outcomes. Effective responsibility sharing was seen as being responsive to adolescent capacity and driven by autonomy supportive, sustained communication patterns that enable mutually agreeable responsibility assumption by all stakeholders. Conclusion Different perspectives on responsibility sharing for adolescents with Type 1 diabetes, and the lack of a universal definition, have led to discordance within the literature about its operationalization and measurement. This paper proposes a definition of responsibility sharing for future researchers to apply.

Game Mechanisms in Serious Games That Teach Children with Type-1 Diabetes How to Self-Manage: A Systematic Scoping Review

2021 ◽  
pp. 193229682110182
Author(s):  
Jannie Nørlev ◽  
Katrine Sondrup ◽  
Christina Derosche ◽  
Ole Hejlesen ◽  
Stine Hangaard
Keyword(s):  
Type 1 Diabetes ◽  
Social Interactions ◽  
Scoping Review ◽  
Serious Games ◽  
Relevant Literature ◽  
Serious Game ◽  
Self Management ◽  
Effective Combination ◽  
Comprehensive Search

Introduction: The use of serious games is a popular approach to help children with Type-1 diabetes (T1D) learn how to self-manage. Many different game mechanisms exist. However, it is unclear which game mechanisms a serious game should include to teach self-management to children with T1D. Therefore, the aim of this scoping review is to map and describe the game mechanisms used in serious games that teach children with T1D how to self-manage and explain how they contribute to teaching self-management. Methods: A systematic scoping review was conducted to map and describe the important game mechanisms published before 23 September 2020. A comprehensive search was performed in the PubMed, CINAHL, Embase, PsycINFO, Scopus, and Education Database. Relevant literature was selected, synthesized, and reported. Results: Of the 800 articles identified, 18 were included in this systematic scoping review. The game mechanisms used in serious games that teach self-management included narrative contexts, feedback, avatars, simulations, goals, levels, and social interactions. Discussion: This review identified 7 game mechanisms used in serious games that teach children how to self-manage. A serious game is most effective in teaching self-management when it is T1D-oriented and when multiple game mechanisms are combined. However, the most effective combination of game mechanisms has yet to be determined.

scholarly journals Nothing About Us Without Us: A Scoping Review and Priority-Setting Partnership in Type 1 Diabetes and Exercise

2019 ◽  
Author(s):  
Nika M.D. Klaprat ◽  
Nicole Askin ◽  
Andrea MacIntosh ◽  
Nicole Brunton ◽  
Jacqueline L. Hay ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Scoping Review ◽  
Priority Setting ◽  
Randomized Trials ◽  
Steering Committee ◽  
Exercise Interventions ◽  
Patient Reported ◽  
Research Questions ◽  
Priority Setting Partnership

AbstractObjectivesExamine the characteristics of patient engagement (PE) practices in exercise-based randomized trials in type 1 diabetes (T1D), and facilitate T1D stakeholders in determining the top ten list of priorities for exercise research.DesignTwo methodological approaches were employed: a scoping review and a modified James Lind Alliance priority-setting partnership.MethodsPublished (Medline, Embase, CINAHL, and Central databases) and grey literature (www.clinicaltrials.gov) were searched to identify randomized controlled trials of exercise interventions lasting minimum four weeks and available in English. We extracted information on PE and patient-reported outcomes (PROMs) to identify if patient perspectives had been implemented. Based on results, we set out to determine exercise research priorities as a first step towards a patient-engaged research agenda. An online survey was distributed across Canada to collect research questions from patients, caregivers and healthcare providers. We qualitatively analyzed submitted questions and compiled a long-list that a twelve-person stakeholder steering committee used to identify the top ten priority research questions.ResultsOf 9,962 identified sources, 19 published trials and 4 trial registrations fulfilled inclusion criteria. No evidence of PE existed in any included study. Most commonly measured PROMs were frequency of hypoglycemia (n=7) and quality of life (n=4). The priority-setting survey yielded 194 submitted research questions. Steering committee rankings identified 10 priorities focused on lifestyle factors and exercise modifications to maintain short-term glycemic control.ConclusionRecent exercise-based randomized trials in T1D have not included PE and PROMs. Patient priorities for exercise research have yet to be addressed with adequately designed clinical trials.

Update on Clinical Utility of Continuous Glucose Monitoring in Type 1 Diabetes

2016 ◽  
Vol 16 (11) ◽  
Author(s):  
Nalani Haviland ◽  
John Walsh ◽  
Ruth Roberts ◽  
Timothy S. Bailey
Keyword(s):  
Type 1 Diabetes ◽  
Continuous Glucose Monitoring ◽  
Clinical Utility ◽  
Glucose Monitoring

scholarly journals Filling gaps in type 1 diabetes and exercise research: a scoping review and priority-setting project

2020 ◽  
Vol 8 (1) ◽  
pp. e001023
Author(s):  
Nika M D Klaprat ◽  
Nicole Askin ◽  
Andrea MacIntosh ◽  
Nicole Brunton ◽  
Jacqueline L Hay ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Scoping Review ◽  
Priority Setting ◽  
Randomized Trials ◽  
Grey Literature ◽  
Steering Committee ◽  
Exercise Interventions ◽  
Patient Reported ◽  
Research Questions

Our team examined the characteristics of patient engagement (PE) practices in exercise-based randomized trials in type 1 diabetes (T1D), and facilitated T1D stakeholders in determining the top 10 list of priorities for exercise research. Two methodological approaches were employed: a scoping review and a modified James Lind Alliance priority-setting partnership. Published (Medline, Embase, CINAHL and Central databases) and grey literature (www.clinicaltrials.gov) were searched to identify randomized controlled trials of exercise interventions lasting minimum 4 weeks and available in English. We extracted information on PE and patient-reported outcomes (PROs) to identify if patient perspectives had been implemented. Based on results, we set out to determine exercise research priorities as a first step towards a patient-engaged research agenda. An online survey was distributed across Canada to collect research questions from patients, caregivers and healthcare providers. We qualitatively analyzed submitted questions and compiled a long list that a 12-person stakeholder steering committee used to identify the top 10 priority research questions. Of 9962 identified sources, 19 published trials and 4 trial registrations fulfilled inclusion criteria. No evidence of PE existed in any included study. Most commonly measured PROs were frequency of hypoglycemia (n=7) and quality of life (n=4). The priority-setting survey yielded 194 submitted research questions. Steering committee rankings identified 10 priorities focused on lifestyle factors and exercise modifications to maintain short-term glycemic control. Recent exercise-based randomized trials in T1D have not included PE and PROs. Patient priorities for exercise research have yet to be addressed with adequately designed clinical trials.

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