The status of care for youth with type 1 diabetes within and coming from humanitarian crises settings: a narrative review.

IF 3.1 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Conflict and Health Pub Date : 2025-01-14 DOI:10.1186/s13031-024-00631-3

Steven James, Samira B Jabakhanji, Roopa Mehta, John McCaffrey, Maisoon Mairghani, Dominika Bhatia, Olive James, Sylvia Kehlenbrink, Philippa Boulle, Kiran Mejia Mehta, David Simmons, Edward W Gregg

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Abstract

Background: Humanitarian crises bring unique, and potentially growing challenges to people with type 1 diabetes (T1D). We aimed to determine, in youth with T1D (mean age (± 1SD) 0-17.9 years) within and coming from humanitarian crises settings (HCS), the reported prevalence that meet international consensus targets for glycaemic, blood pressure and lipid management, and incidence of severe hypoglycaemia or diabetic ketoacidosis.

Methods: A narrative review of quantitative data was conducted, using a systematic process. MEDLINE (Ovid), Global Health, Web of Science, Scopus, Embase, CINAHL, APA PsycINFO, Cochrane trials, and the reference lists of eligible records were searched (January 2014-February 2024); ten records covering ten separate studies were retrieved.

Results: Glycaemic management was consistently suboptimal in HCS. However, among individuals coming from HCS, glycaemia varied. Across both groups, data relating to blood pressure, lipids, severe hypoglycaemia or diabetic ketoacidosis were either unavailable or limited.

Conclusion: Findings expose the dearth of data relating to defined youth with T1D within and coming from HCS, leaving the status of this population largely uncharacterised. With limited data indicating suboptimal T1D management, there is a pressing need for the development of a consensus guideline on, and core indicators relating to such youth within and coming from HCS, plus monitoring systems and outcome data.

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人道主义危机环境中及危机后青年1型糖尿病患者护理状况：叙述性回顾

背景：人道主义危机给1型糖尿病患者带来了独特且可能日益严峻的挑战。我们的目的是确定，在人道主义危机环境（HCS）内和来自HCS的青年T1D（平均年龄（±1SD） 0-17.9岁）中，报告的患病率符合血糖、血压和脂质管理的国际共识目标，以及严重低血糖或糖尿病酮症酸中毒的发生率。方法：采用系统的方法对定量数据进行叙述性回顾。检索MEDLINE （Ovid）、Global Health、Web of Science、Scopus、Embase、CINAHL、APA PsycINFO、Cochrane试验和符合条件的参考文献列表（2014年1月- 2024年2月）；我们检索了10项独立研究的10份记录。结果：HCS患者的血糖管理一直处于次优状态。然而，在来自HCS的个体中，血糖有所不同。在两组中，与血压、血脂、严重低血糖或糖尿病酮症酸中毒有关的数据要么无法获得，要么有限。结论：研究结果表明，缺乏与HCS内部和来自HCS的定义青年T1D相关的数据，使得这一人群的状况在很大程度上没有特征。由于有限的数据表明T1D管理不理想，因此迫切需要制定共识指南，以及与HCS内部和来自HCS的此类青年相关的核心指标，以及监测系统和结果数据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Conflict and Health Medicine-Public Health, Environmental and Occupational Health

CiteScore

6.10

自引率

5.60%

发文量

审稿时长

18 weeks

期刊介绍： Conflict and Health is a highly-accessed, open access journal providing a global platform to disseminate insightful and impactful studies documenting the public health impacts and responses related to armed conflict, humanitarian crises, and forced migration.