keyword
https://read.qxmd.com/read/38648259/ten-years-of-improving-glycemic-control-in-pediatric-diabetes-care-data-from-the-norwegian-childhood-diabetes-registry
#1
JOURNAL ARTICLE
Heiko Bratke, Eva Biringer, Anastasia Ushakova, Hanna D Margeirsdottir, Siv Janne Kummernes, Pål R Njølstad, Torild Skrivarhaug
OBJECTIVE: To evaluate, from 2013 to 2022, how HbA1c, the incidence of acute complications, and use of diabetes technology changed at the national level in Norway and how glycemic control was associated with use of diabetes technology, carbohydrate counting, or participation in a quality improvement project. RESEARCH DESIGN AND METHODS: This longitudinal observational study was based on 27,214 annual registrations of 6,775 children from the Norwegian Childhood Diabetes Registry from 2013 to 2022...
April 22, 2024: Diabetes Care
https://read.qxmd.com/read/38647266/screening-for-diabetes-distress-and-depression-in-routine-clinical-care-for-youth-with-type-1-diabetes
#2
JOURNAL ARTICLE
Dana Albright, Joseph Wardell, Annalise Harrison, Kara Mizokami-Stout, Emily Hirschfeld, Ashley Garrity, Inas Thomas, Joyce Lee
OBJECTIVE: The purpose of this study is to examine diabetes distress as a potential mediator of the relationship between depression symptoms and diabetes outcomes, including hemoglobin A1c (hemoglobin A1c [HbA1c]) and diabetes management behaviors in a clinical sample of adolescents and young adults. METHODS: In a pediatric diabetes clinic, 716 youth (ages 12-21 years) completed measures of diabetes distress (Problem Areas in Diabetes-Teen [PAID-T]), a single-item of diabetes distress, and depression (Patient Health Questionnaire [PHQ-9]) as part of standard care...
April 22, 2024: Journal of Pediatric Psychology
https://read.qxmd.com/read/38639860/beyond-hba1c-identifying-gaps-in-glycemic-control-among-children-and-young-people-with-type-1-diabetes-using-continuous-glucose-monitoring
#3
JOURNAL ARTICLE
Ambica Tandon, Eshita Bhowmik, Zebish Ali, Sarita Tripathi, Ajitha Bk, Preeti Dabadghao, Siddhnath Sudhanshu, Vijayalakshmi Bhatia
OBJECTIVES: To describe continuous glucose monitoring (CGM) derived glycemic variables, and study their association with HbA1c and socio-economic factors in young people with Type 1 diabetes mellitus (T1DM). METHODS: Ninety-two participants [age 15.7 ± 5.0 y (mean ± SD), HbA1c 8.0 ± 1.5% (mean ± SD)] wore a professional CGM sensor for 14 d. RESULTS: Median (IQR) time in range (TIR) was 41 (18)%...
April 19, 2024: Indian Journal of Pediatrics
https://read.qxmd.com/read/38635005/predictors-of-30-day-recurrent-emergency-department-visits-for-hyperglycemia-in-patients-with-types-1-and-2-diabetes-a-population-based-cohort-study
#4
JOURNAL ARTICLE
Justin W Yan, Branka Vujcic, Britney N Le, Kristine Van Aarsen, Tom Chen, Fardowsa Halane, Kristin K Clemens
OBJECTIVES: This study's aims were to describe the outcomes of patients with diabetes presenting with their first ED visit for hyperglycemia, and to identify predictors of recurrent ED visits for hyperglycemia. METHODS: Using linked databases, we conducted a population-based cohort study of adult and pediatric patients with types 1 and 2 diabetes presenting with a first ED visit for hyperglycemia from April 2010 to March 2020 in Ontario, Canada. We determined the proportion of patients with a recurrent ED visit for hyperglycemia within 30 days of the index visit...
April 18, 2024: CJEM
https://read.qxmd.com/read/38632329/inaccurate-diagnosis-of-diabetes-type-in-youth-prevalence-characteristics-and-implications
#5
JOURNAL ARTICLE
Mustafa Tosur, Xiaofan Huang, Audrey S Inglis, Rebecca Schneider Aguirre, Maria J Redondo
Classifying diabetes at diagnosis is crucial for disease management but increasingly difficult due to overlaps in characteristics between the commonly encountered diabetes types. We evaluated the prevalence and characteristics of youth with diabetes type that was unknown at diagnosis or was revised over time. We studied 2073 youth with new-onset diabetes (median age [IQR] = 11.4 [6.2] years; 50% male; 75% White, 21% Black, 4% other race; overall, 37% Hispanic) and compared youth with unknown versus known diabetes type, per pediatric endocrinologist diagnosis...
April 17, 2024: Scientific Reports
https://read.qxmd.com/read/38631820/child-opportunity-index-and-clinical-characteristics-at-diabetes-diagnosis-in-youth-type-1-diabetes-versus-type-2-diabetes
#6
JOURNAL ARTICLE
Kim Hoyek, Ingrid Libman, Nkeiruka Mkparu, Yong Hee Hong, Silva Arslanian, Mary Ellen Vajravelu
INTRODUCTION: Among youth with type 1 diabetes (T1D), longitudinal poor glycemic control is associated with adverse socioeconomic conditions at the neighborhood level. Child Opportunity Index (COI), which encompasses measures of education, health, environment, social, and economic factors, is associated with obesity in youth but has not been evaluated in youth with new-onset T1D or type 2 diabetes (T2D). We hypothesized that lower COI would be associated with adverse clinical outcomes at diabetes diagnosis, and due to differing risk factors and pathophysiology, that youth with new-onset T2D would have lower COI than youth with T1D...
April 17, 2024: BMJ Open Diabetes Research & Care
https://read.qxmd.com/read/38630246/implementation-of-the-mind-youth-questionnaire-my-q-for-routine-health-related-quality-of-life-screening-of-adolescents-with-type-1-diabetes-in-a-large-tertiary-care-center
#7
JOURNAL ARTICLE
Aleksandra Stojanova, Mary-Ann Harrison, Nicholas Mitsakakis, Zoyah Thawer, Nardin Kirolos, Liz Stevens, Jolianne Paul, Christine Richardson, Caroline Zuijdwijk, Ellen B Goldbloom, Sarah Lawrence, Marie-Eve Robinson, Alexandra Ahmet
OBJECTIVES: Prevalence of diabetes distress and mental health comorbidities among adolescents with type 1 diabetes (T1D) is high. Despite recommendations for routine psychosocial risk assessment, there is little guidance for their implementation. This study aims to describe the implementation and baseline outcomes of the Mind Youth Questionnaire (MY-Q), a validated psychosocial screening tool for health-related quality of life (QoL) including mood, among adolescents living with T1D. METHODS: Adolescents aged 13-18 years completed the MY-Q from October 1, 2019-April 1, 2023...
April 18, 2024: Journal of Pediatric Endocrinology & Metabolism: JPEM
https://read.qxmd.com/read/38615728/one-year-outcomes-among-children-identified-with-celiac-disease-through-a-mass-screening-program
#8
JOURNAL ARTICLE
Marisa G Stahl, Zhaoxing Pan, Monique Germone, Sadie Nagle, Pooja Mehta, Mary Shull, Isabel Griffith, Brianne Shuler, Edward Hoffenberg, Iman Taki, Cristy Geno-Rasmussen, Marian J Rewers, Jill M Norris, Edwin Liu
BACKGROUND: Celiac disease (CD) mass screening remains controversial in part because of a paucity of data to support its benefit. The Autoimmunity Screening for Kids (ASK) study is a mass screening study for pediatric CD and type 1 diabetes in Colorado. METHODS: This study prospectively follows children ages 1-17 years who screened positive for tissue transglutaminase IgA autoantibodies (tTGA) in the ASK study subsequently referred for diagnostic evaluation. Children diagnosed with CD by biopsy or serologic criteria were included in this study...
April 12, 2024: Clinical Gastroenterology and Hepatology
https://read.qxmd.com/read/38615333/incidences-of-newly-diagnosed-childhood-diabetes-and-onset-severity-a-multicenter-regional-study-in-thailand-over-two-decades-and-during-the-covid-19-pandemic
#9
JOURNAL ARTICLE
Pattharaporn Sinthuprasith, Karn Wejaphikul, Dolrutai Puttawong, Hataitip Tang-Ngam, Naphatsorn Sanrattana, Kevalee Unachak, Prapai Dejkhamron
OBJECTIVES: While global  incidence rates (IR) of childhood diabetes are increasing, there is a notable lack  of current information on the incidence of childhood-onset diabetes in Thailand. This study aims to illustrate the age-standardized IR and types of childhood diabetes using multicenter regional data in Northern Thailand from 2005 to 2022 and to assess the impact of the COVID-19 pandemic. METHODS: Data on newly diagnosed childhood diabetes were retrospectively collected between 2005 and 2016 and prospectively recorded for all incident cases between 2016 and 2022...
April 16, 2024: Journal of Pediatric Endocrinology & Metabolism: JPEM
https://read.qxmd.com/read/38607611/evaluation-of-the-possible-impact-of-the-fear-of-hypoglycemia-on-diabetes-management-in-children-and-adolescents-with-type-1-diabetes-mellitus-and-their-parents-a-cross-sectional-study
#10
JOURNAL ARTICLE
Ourania Andreopoulou, Eirini Kostopoulou, Eleni Kotanidou, Sophia Daskalaki, Angeliki Vakka, Assimina Galli-Tsinopoulou, Bessie E Spiliotis
PURPOSE: Hypoglycemia represents a significant source of anxiety for children with type 1 diabetes mellitus (T1DM) and their caretakers. Fear of hypoglycemia (FoH) was measured in children and adolescents with T1DM as well as in their parents using an established research instrument, the Hypoglycemia Fear Survey (HFS). METHODS: This is a two-center, cross-sectional study involving 100 children and adolescents aged 6-18 years old diagnosed with T1DM. One parent of each child also participated in the study...
April 12, 2024: Hormones: International Journal of Endocrinology and Metabolism
https://read.qxmd.com/read/38605449/correlation-between-centre-size-metabolic-variation-and-mean-hba1c-in-major-paediatric-diabetes-centres
#11
JOURNAL ARTICLE
Ella Ek Swaney, Julia McCombe, Susan Donath, Fergus J Cameron
AIM: To exploit a relatively homogeneous national health care context and a national diabetes database to address the questions: Is there an optimal clinic/centre size in determining outcomes?; and Can improvement in median centre outcomes be driven by reducing variability in outcome? METHODS: Using the Australasian Diabetes Database Network, data from seven tertiary hospital paediatric diabetes clinics for patients with type one diabetes from Australia were recorded from 6-month uploads: September 2017, March 2018, September 2018 and March 2019...
April 11, 2024: Journal of Paediatrics and Child Health
https://read.qxmd.com/read/38605327/the-role-of%C3%A2-peer%C3%A2-social-relationships-in-psychological-distress-and-quality-of-life-among-adolescents-with-type-1-diabetes-mellitus-a-longitudinal-study
#12
JOURNAL ARTICLE
Dan Luo, Xue Cai, Hong Wang, Yubing Wang, Jingjing Xu
BACKGROUND: Adolescents with type 1 diabetes mellitus suffer from diabetes distress and poor health-related quality of life (HRQOL) since living with the condition that differentiates them from their peers. The present study investigated the effects of peer support and stress on diabetes distress and HRQOL and whether positive coping mediated the effects. METHODS: We used a prospective study design. A total of 201 adolescents with type 1 diabetes mellitus from 20 cities in 4 provinces were recruited...
April 11, 2024: BMC Psychiatry
https://read.qxmd.com/read/38602015/pediatric-screening-for-type-1-diabetes-and-celiac-disease-the-future-is-today-in-italy
#13
JOURNAL ARTICLE
Carlo Catassi, Olimpia Vincentini, Flavia Pricci, Umberto Agrimi, Marco Silano, Emanuele Bosi
No abstract text is available yet for this article.
April 10, 2024: Minerva pediatrics
https://read.qxmd.com/read/38597850/diabetic-ketoacidosis-in-type-1-diabetes-onset-in-latin-american-children
#14
JOURNAL ARTICLE
Valeria Hirschler, Claudio D Gonzalez, Gabriela Krochik, Adriana M Rousos, Maria E Andres, Francisca Riera, Paola Pinto Ibarcena, Claudia Molinari, Luis F Palacios Porta, Mariana Prieto, Carolina Martinez Mateu, Consuelo Barcala, Maria A Arrigo, Jacqueline Tachetti, Marcela Raggio, Veronica Vacarezza, Maria L Major, Angela Figueroa Sobrero, Ernesto Bogado, Stella Lopez, Paula Paz Povedano, Edit Scaiola, Fabiana Leiva, Gabriela Pacheco, Patricia Pasayo, Mariana Dupuy, Maria B Torossi, Amanda J Benitez, Andrea Escalante Marassi, Zulema Caballero, Ana L Garcia, Sandra Mazzetti, Maria I Ruiz Pugliese, Diana S Gonzalez, Florencia Grabois, Carlos M Del Aguila Villar, Adriana B Flores
OBJECTIVE: To describe the patterns of diabetic ketoacidosis (DKA) occurrence in children newly diagnosed with type 1 diabetes (T1DM) across several Latin American pediatric diabetes centers from 2018 to 2022. METHODS: A retrospective chart review included children under 18 with new-onset T1DM from 30 Latin American pediatric diabetes centers (Argentina, Chile, and Peru) between 30 December 2018 and 30 December 2022. Multiple logistic regression models examined the relationships between age, gender, medical insurance, BMI, and DKA at new-onset T1DM...
April 10, 2024: Journal of Pediatric Health Care
https://read.qxmd.com/read/38596444/-prediabetes-as-a-practical-distinctive-window-for-workable-fruitful-wonders-prevention-and-progression-alert-as-advanced-professionalism
#15
EDITORIAL
Sunil Jain
Diabetes is a devastating public health problem. Prediabetes is an intermediate stage in the disease processes leading to diabetes, including types 1 and 2 diabetes. In the article "Prediabetes in children and adolescents: An updated review," the authors presented current evidence. We simplify and systematically clearly present the evidence and rationale for a conceptual framework we term the '3ASs': (1) Awareness Sensible; (2) Algorithm Simple; and (3) Appealing Strategies. Policy makers and the public need to be alerted...
March 9, 2024: World Journal of Clinical Pediatrics
https://read.qxmd.com/read/38596435/pressure-pain-sensitivity-a-new-stress-measure-in-children-and-adolescents-with-type-1-diabetes
#16
JOURNAL ARTICLE
Annemarie Cecilie Grauslund, Emilie Bundgaard Lindkvist, Steffen Ullitz Thorsen, Søren Ballegaard, Jens Faber, Jannet Svensson, Anna Korsgaard Berg
Type 1 diabetes (T1D) is associated with general- and diabetes-specific stress which has multiple adverse effects. Hence measuring stress is of great importance. An algometer measuring pressure pain sensitivity (PPS) has been shown to correlate to certain stress measures in adults. However, it has never been investigated in children and adolescents. The aim of our study was to examine associations between PPS and glycated hemoglobin (HbA1c), salivary cortisol and two questionnaires as well as to identify whether the algometer can be used as a clinical tool among children and adolescents with T1D...
March 9, 2024: World Journal of Clinical Pediatrics
https://read.qxmd.com/read/38593428/moderating-effect-of-depression-on-glycemic-control-in-an-ehealth-intervention-among-black-youth-with-type-1-diabetes-findings-from-a-multicenter-randomized-controlled-trial
#17
JOURNAL ARTICLE
Deborah Ellis, April Idalski Carcone, Thomas Templin, Meredyth Evans, Jill Weissberg-Benchell, Colleen Buggs-Saxton, Claudia Boucher-Berry, Jennifer L Miller, Tina Drossos, M Bassem Dekelbab
BACKGROUND: Black adolescents with type 1 diabetes (T1D) are at increased risk for suboptimal diabetes health outcomes; however, evidence-based interventions for this population are lacking. Depression affects a high percentage of youth with T1D and increases the likelihood of health problems associated with diabetes. OBJECTIVE: Our aim was to test whether baseline levels of depression moderate the effects of a brief eHealth parenting intervention delivered to caregivers of young Black adolescents with T1D on youths' glycemic control...
April 9, 2024: JMIR Diabetes
https://read.qxmd.com/read/38592062/association-between-proinflammatory-cytokines-and-arterial-stiffness-in-type-1-diabetic-adolescents
#18
JOURNAL ARTICLE
Mónica Reis, Ana Teixeira, Juliana Cardoso, Teresa Borges, Alberto Caldas Afonso, Liane Correia-Costa
OBJECTIVES: Type 1 diabetes mellitus is considered a state of chronic low-grade inflammation and activation of the innate immune system, which is regulated by several proinflammatory cytokines and other acute-phase reactants. Arterial stiffness, a dynamic property of the vessels evaluated by the determination of pulse wave velocity (PWV), is increased in diabetic patients and is associated with microvascular and macrovascular complications of diabetes and higher cardiovascular risk. In the present study, we aimed to compare the proinflammatory state and arterial stiffness in diabetic and non-diabetic adolescents, and to characterize the association between these two parameters...
April 9, 2024: Journal of Pediatric Endocrinology & Metabolism: JPEM
https://read.qxmd.com/read/38591792/parent-child-and-adolescent-lived-experience-using-the-insulin-only-ilet-bionic-pancreas
#19
JOURNAL ARTICLE
Kelsey R Howard, Kimberly P Garza, Marissa Feldman, Jill Weissberg-Benchell
OBJECTIVE: Automated insulin delivery (AID) systems show great promise for improving glycemic outcomes and reducing disease burden for youth with type 1 diabetes (T1D). The current study examined youth and parent perspectives after using the insulin-only iLet Bionic Pancreas (BP) during the 13-week pivotal trial. METHODS: Parents and youth participated in focus group interviews, with questions assessing participants' experiences in a variety of settings and were grounded in the Unified Theory of Acceptance and Use of Technology...
April 9, 2024: Journal of Pediatric Psychology
https://read.qxmd.com/read/38590482/patterns-and-characteristics-of-diabetic-ketoacidosis-in-children-with-type-i-diabetes-in-saudi-arabia
#20
JOURNAL ARTICLE
Rasha Alradadi, Daliah M Alharbi, Maram S Alrehely, Samah F Alraddadi, May Almouteri, Muna Mohammad AlSuhaimi, Maram Abdullah Alaofi, Noha Farouk Tashkandi, Fatimah A Aljohani
BACKGROUND: Type 1 diabetes mellitus (T1DM) in children, a significant public health concern, often leads to diabetic ketoacidosis (DKA). The prevalence of T1DM is increasing globally, with Saudi Arabia recording high rates of DKA at T1DM onset. This study aimed to evaluate the characteristics and risk factors of pediatric T1DM patients presenting with DKA in the emergency room in Saudi Arabia and quantify intensive care unit (ICU) admission incidences reflecting DKA severity. METHODS: This retrospective chart review, conducted at Medina Maternity and Children's Hospital, Saudi Arabia, analyzed data from 2017 to 2022...
March 2024: Curēus
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