Factors conducive to optimal control of type 1 diabetes mellitus in childhood and adolescence
Authors:
Miriam Čiljaková 1,2; Andrea Milanová 1; Dana Černochová 1; Eva Mendelová 1; Jarmila Vojtková 2; Alenka; Szokeová 2
Authors place of work:
Detské oddelenie NEDÚ, Ľubochňa
1; Klinika detí a dorastu UNM a JLF UK, Martin
2
Published in the journal:
Forum Diab 2017; 6(2): 79-83
Category:
Topic
Summary
Introduction:
Despite of significant progress in treatment of diabetes, more than half of children do not have optimal metabolic control of diabetes. In 2014, average HbA1c was 8,5 % in children and young adults in TEENs international study. SWEET project associating mainly centres of west and middle Europe reported average HbA1c 7,8 % in 2015, optimal control of diabetes was reached in 39,1 % of children and adolescents.
Goal:
The main aim of work is to refer to factors influencing metabolic compensation of type 1 diabetes mellitus (T1DM) in childhood and adolescence, to emphasize complexity of topic and difficulty of management.
Methods and results:
Based on summary of literary data and clinical experiences, we can divide factors on suggestible and non-suggestible. In aspect of suggestible factors, favorable influence on control of diabetes has use of modern technologies in whole complexity including use of computer programs of glucometers, continuous glucose sensors or insulin pumps. Programs allow to assess adherence to treatment in detail, contribute to education and motivation of children with diabetes as well as all family, allow quick and correct adjustment of treatment, possibly also by electronic communication. Positive results are reached by increased frequency of regular check-ups and stays on special workplaces with regular group and individual education, possibility of psychological and social support. Age of child and socio-economic state of family are non-suggestible factors.
Conclusion:
The work offers global view on difficulty of management of child with diabetes and show options of favorable modulation of suggestible factors for optimalisation of T1DM control in childhood and adolescence.
Key words:
childhood, optimal control of diabetes, type 1 diabetes mellitus
Received:
11. 4. 2017
Accepted:
2. 5. 2017
Zdroje
1. American Diabetes Association. Standards od medical care in diabetes – 2014. Diabetes Care 2014, 37(Suppl 1) S14-S80. Dostupné z DOI: <https://doi.org/10.2337/dc14-S014>.
2. Hanas R, Donaghue K, Klingensmith G. et al. Global IDF/ISPAD Guideline for Diabetes in Childhood and Adolescence. International Diabetes Federation: Brussels: 2011. ISBN 2–930229–72–1.
3. Lange K, Swift P, Pańkowska E et al. ISPAD Clinical Practice Consensus Guidelines 2014. Diabetes education in children and adolescents. Pediatr Diabetes 2014; 15(Suppl 20): S77-S85. Dostupné z DOI: <http://dx.doi.org/10.1111/pedi.12187>.
4. Cooper MN, O‘Connell SM, Davis EA et al. A population-based study of risk factors for severe hypoglycemia in a contemporary cohort of childhood-onset type 1 diabetes. Diabetologia 2013; 56(10):2164–2170. Dostupné z DOI: <http://dx.doi.org/10.1007/s00125–013–2982–1>.
5. Cohen ND, Hong ES, Van Drie C et al. Long-term metabolic effects of continuous subcutaneous insulin infusion therapy in type 1 diabetes. Diabetes Technol Ther 2013; 15(7): 544–549. Dostupné z DOI: <http://dx.doi.org/10.1089/dia.2012.0331>.
6. Carlsson BM, Attvall S, Clements M et al. Insulin pump – longtherm effects on glycemic control: an observational study at 10 diabetes clinics in Sweden. Diabetes Technol Ther 2013; 15(4): 302–307. Dostupné z DOI: <http://dx.doi.org/10.1089/dia.2012.0286>.
7. Čiljaková M, Mokáň M. Trendy v liečbe diabetes mellitus 1. typu. QuickPrint: Martin 2014.
8. Philip M, Battelino T. ATTD 2013 Yearbook. Advanced Technologies & Treatments for Diabetes. Mary Ann Liebert: New Rochelle 2014. Diabetes Technol Ther 2014; 16(Suppl 1). <http://dx.doi.org/10.1089/dia.2014.1499>.
9. Shalitn S, Chase HP. Diabetes technology and therapy in the pediatric age group. In Philip M, Battelino T. ATTD 2013 yearbook. Advanced technologies and treatment for diabetes. Mary AnnLiebert: New Rochelle 2014; 290: 215–236.
10. Szypowska A, Schwandt A, Svensson J et al. Insulin pump therapy in children with type 1 diabetes: analysis of data from SWEET registry. Pediatr Diabetes 2016; 17(Suppl 23): S38-S45. Dostupné z DOI: <http://dx.doi.org/10.1111/pedi.12416>.
11. Dovc K, Telic SS, Lusa L et al. Improved metabolic control in pediatric patients with type 1 diabetes: A nationwid eprospective 12-year time trend analysis. Diabetes Technol Ther 2014; 16(1), 33–40.
12. Maahs DM, Hermann JM, DuBose SN et al. [DPV initiative. T1D Exchange Clinic Network]. Contrasting the clinical care and outcomes of 2,622 children with type 1 diabetes less than 6 years of age in the United States T1D Exchange and German/Austrian DPV registries. Diabetologia 2014; 57(8):1578–1585. Dostupné z DOI: <http://dx.doi.org/10.1007/s00125–014–3272–2>.
13. Wood J, Miller K, Maahs D et al. Most youth with type 1 diabetes in the T1D Exchange clini cregistry do not meet American Diabetes Association or International Society for Pediatric and Adolescent Diabetes Clinical Guidelines. Diabetes Care 2013; 36(7): 2035–2037. Dostupné z DOI: <http://dx.doi.org/10.2337/dc12–1959>.
14. Witsch M, Kosteria I, Kordonouri O et al. Possibilities and chalenges of a large international benchmarking in pediatric diabetology – the SWEET experience. Pediatr Diabetes, 2016, 17(Suppl 23: 7–15. Dostupné z DOI: <http://dx.doi.org/10.1111/pedi.12432>.
15. Laffel LM et al. Metabolic control in children and young adult with T1D in TEENs study. Diabetes 2014; 63(Suppl 1): A9.
16. Garvey KC1, Markowitz JT, Laffel LM. Transition to adult care for youth with type 1 diabetes. Curr Diab Rep 2012; 12(5): 533–541. Dostupné z DOI: <http://dx.doi.org/10.1007/s11892–012–0311–6>.
17. Gill G, Nayak AU, Wilkins J et al. Challenges of emerging adulthood-transition from paediatric to adult diabetes. World J Diabetes 2014; 5(5): 630–635. Dostupné z DOI: <http://dx.doi.org/10.4239/wjd.v5.i5.630>.
18. Perfetti R. Comprehensive approach to the management of diabetes: offering improved outcomes for diabetics and the healthcare system. Diabetes Manage 2013; 3(6): 505–528. Dostupné z DOI: <http://dx.doi.org/10.2217/DMT.13.51>.
19. Peters A, Laffel L. [ADA Transitions Working Group]. Diabetes care for emerging adults: recommendations for transition from pediatric to adult diabetes care systems: a position statement of ADA. Diabetes Care 2011; 34(11): 2477–2485. Dostupné z DOI: <http://dx.doi.org/10.2337/dc11–1723>. Erratum in Diabetes Care 2012; 35(1): 191.
20. Winkley K, Ismail K, Landau S et al. Psychological intervention to improve glycemic control in patients with type 1 diabetes: systemic review and meta-analysis of randomised controlled trials. BMJ 2006; 333(7558): 65.
Štítky
Diabetology Endocrinology Internal medicineČlánok vyšiel v časopise
Forum Diabetologicum
2017 Číslo 2
Najčítanejšie v tomto čísle
- Overinsulinization – the frequent cause of unsatisfactory glycemic control: case reports
- Insulin in the therapeutic scheme for type 2 diabetes mellitus
- Insulin therapy during pregnancy
- Factors conducive to optimal control of type 1 diabetes mellitus in childhood and adolescence