Impact of diabetes education on type 1 diabetes mellitus control in children

Daniel E. Alonso Martín, M. Belén Roldán Martín, M. Ángeles Álvarez Gómez, Rosa Yelmo Valverde, María Martín-Frías, Milagros Alonso Blanco, Raquel Barrio Castellanos
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引用次数: 5

Abstract

Introduction

Diabetes education is an essential tool to achieve treatment objectives in type 1 diabetes mellitus (T1DM). The aim of this study was to determine if understanding of diabetes by caregivers/patients or sociodemographic factors affect blood glucose control in children and adolescents with T1DM.

Patients and methods

The level of knowledge of 105 caregivers of children and adolescents with T1DM was assessed using a survey adapted to the type of treatment used (multiple dose insulin [MDI] or continuous subcutaneous insulin infusion [CSII]). Mean HbA1c levels in the previous year was considered as metabolic control marker.

Results

Mean HbA1c levels were similar in both treatment groups, with slightly higher values in children over 12 years of age. Patients on CSII had a longer time since disease onset and had poorer results, maybe because the items were more difficult due to the higher level of knowledge required for this treatment modality (p = 0.005). Caregivers with lower educational levels achieved poorer scores in the survey, but mean HbA1c levels of their children were lower, probably because of their greater involvement in disease care.

Conclusions

The level of knowledge of caregivers and/or patients with T1DM was high, and this was associated to good metabolic control. Studies to assess the impact of caregiver knowledge on metabolic control of children are needed.

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糖尿病教育对儿童1型糖尿病控制的影响
引言糖尿病教育是实现1型糖尿病(T1DM)治疗目标的重要工具。这项研究的目的是确定照顾者/患者对糖尿病的理解或社会人口统计学因素是否会影响患有T1DM的儿童和青少年的血糖控制。患者和方法105名患有T1DM儿童和青少年照顾者的知识水平通过一项适用于所用治疗类型的调查(多剂量胰岛素[MDI]或连续皮下胰岛素输注[CSI])。前一年的平均HbA1c水平被认为是代谢控制标志。结果两个治疗组的平均HbA1c水平相似,12岁以上儿童的HbA1c值略高。CSII患者自发病以来的时间较长,结果较差,可能是因为这种治疗方式所需的知识水平较高,项目更难(p=0.005)。教育水平较低的护理人员在调查中得分较差,但他们孩子的平均HbA1c水平较低,可能是因为他们更多地参与疾病护理。结论照顾者和/或T1DM患者的知识水平较高,这与良好的代谢控制有关。需要进行研究以评估护理人员知识对儿童代谢控制的影响。
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