与设备相关的皮肤反应增加了 1 型糖尿病青少年及其父母的情感负担。

IF 4.1 Q2 ENDOCRINOLOGY & METABOLISM Journal of Diabetes Science and Technology Pub Date : 2024-11-01 Epub Date: 2024-05-28 DOI:10.1177/19322968241253285
Stefano Passanisi, Francesca Galletta, Bruno Bombaci, Valentino Cherubini, Valentina Tiberi, Nicola Minuto, Marta Bassi, Dario Iafusco, Alessia Piscopo, Enza Mozzillo, Francesca Di Candia, Ivana Rabbone, Erica Pozzi, Roberto Franceschi, Vittoria Cauvin, Claudio Maffeis, Claudia Anita Piona, Giuseppina Salzano
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Diabetes-related emotional distress was evaluated using the Problem Areas in Diabetes-Teen version (PAID-T) for participants aged 11 to 19 years and the Problem Areas in Diabetes-Parent Revised version (PAID-PR) completed by parents. In addition, glucose control was assessed through glycated hemoglobin (HbA<sub>1c</sub>) values and continuous glucose monitoring (CGM) metrics.</p><p><strong>Results: </strong>A total of 102 children and adolescents were consecutively recruited. Adolescents with skin issues had higher PAID-T scores compared to those without (79.6 ± 21.1 vs 62 ± 16.8; <i>P</i> = .004). Parents of youths with skin reactions also reported higher PAID-PR scores than the control group (34.0 ± 11.0 vs 26.9 ± 12.3; <i>P</i> = .015). No differences were observed in HbA<sub>1c</sub> levels (6.9 ± 0.8% vs 6.8 ± 0.8%, <i>P</i> = .555) or CGM glucose metrics between the two groups. 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引用次数: 0

摘要

背景:技术设备引起的皮肤反应是1型糖尿病(T1D)治疗过程中的一个重要问题。这项多中心横断面比较研究旨在评估与设备相关的皮肤问题对患有 T1D 的青少年及其父母的心理影响:有皮肤反应的参与者与对照组的比例为 1:1。采用糖尿病问题领域-青少年版(PAID-T)和糖尿病问题领域-家长修订版(PAID-PR)对11至19岁的参与者进行糖尿病相关情绪困扰评估。此外,还通过糖化血红蛋白(HbA1c)值和连续血糖监测(CGM)指标对血糖控制情况进行了评估:结果:共连续招募了 102 名儿童和青少年。与无皮肤问题的青少年相比,有皮肤问题的青少年的 PAID-T 得分更高(79.6 ± 21.1 vs 62 ± 16.8;P = .004)。与对照组相比,有皮肤反应的青少年的家长的 PAID-PR 得分也更高(34.0 ± 11.0 vs 26.9 ± 12.3;P = .015)。两组之间的 HbA1c 水平(6.9 ± 0.8% vs 6.8 ± 0.8%,P = .555)或 CGM 血糖指标未见差异。值得注意的是,25.5% 的患者被迫停用胰岛素泵和/或葡萄糖传感器(分别为 21.5% 和 5.9%):我们的研究强调了 T1D 青少年患者及其父母因设备相关皮肤反应而增加的精神负担,强调了在糖尿病管理的这一关键方面开展进一步研究和干预的必要性。
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Device-Related Skin Reactions Increase Emotional Burden in Youths With Type 1 Diabetes and Their Parents.

Background: Skin reactions due to technological devices pose a significant concern in the management of type 1 diabetes (T1D). This multicentric, comparative cross-sectional study aimed to assess the psychological impact of device-related skin issues on youths with T1D and their parents.

Methods: Participants with skin reactions were matched in a 1:1 ratio with a control group. Diabetes-related emotional distress was evaluated using the Problem Areas in Diabetes-Teen version (PAID-T) for participants aged 11 to 19 years and the Problem Areas in Diabetes-Parent Revised version (PAID-PR) completed by parents. In addition, glucose control was assessed through glycated hemoglobin (HbA1c) values and continuous glucose monitoring (CGM) metrics.

Results: A total of 102 children and adolescents were consecutively recruited. Adolescents with skin issues had higher PAID-T scores compared to those without (79.6 ± 21.1 vs 62 ± 16.8; P = .004). Parents of youths with skin reactions also reported higher PAID-PR scores than the control group (34.0 ± 11.0 vs 26.9 ± 12.3; P = .015). No differences were observed in HbA1c levels (6.9 ± 0.8% vs 6.8 ± 0.8%, P = .555) or CGM glucose metrics between the two groups. Remarkably, 25.5% were forced to discontinue insulin pumps and/or glucose sensors (21.5% and 5.9%, respectively).

Conclusions: Our study highlighted the increased emotional burden experienced by youths with T1D and their parents due to device-related skin reactions, emphasizing the need for further research and interventions in this crucial aspect of diabetes management.

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来源期刊
Journal of Diabetes Science and Technology
Journal of Diabetes Science and Technology Medicine-Internal Medicine
CiteScore
7.50
自引率
12.00%
发文量
148
期刊介绍: The Journal of Diabetes Science and Technology (JDST) is a bi-monthly, peer-reviewed scientific journal published by the Diabetes Technology Society. JDST covers scientific and clinical aspects of diabetes technology including glucose monitoring, insulin and metabolic peptide delivery, the artificial pancreas, digital health, precision medicine, social media, cybersecurity, software for modeling, physiologic monitoring, technology for managing obesity, and diagnostic tests of glycation. The journal also covers the development and use of mobile applications and wireless communication, as well as bioengineered tools such as MEMS, new biomaterials, and nanotechnology to develop new sensors. Articles in JDST cover both basic research and clinical applications of technologies being developed to help people with diabetes.
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