餐时胰岛素 BOLUS 评分比自我护理量表更能预测 1 型糖尿病青少年的 HbA1c。

IF 4.1 Q2 ENDOCRINOLOGY & METABOLISM
Jordan Christie, Mark A Clements, David D Williams, Joseph Cernich, Susana R Patton
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引用次数: 0

摘要

背景:为了达到糖化血红蛋白(HbA1c)目标,1 型糖尿病(T1D)青少年需要参与日常 T1D 治疗。餐时胰岛素注射评分(BOLUS)是衡量青少年 T1D 参与度的一个客观指标,我们之前已经证明它在预测青少年 HbA1c 方面优于其他客观参与度指标。在此,为了进一步评估 BOLUS 评分的有效性,我们比较了青少年 HbA1c 与其胰岛素 BOLUS 平均评分以及有效的 T1D 参与度自我报告量表(SCI)之间的关联强度:105 名患有 T1D 的青少年使用 SCI 自我报告了他们参与 T1D 的情况。我们还收集了两周的胰岛素泵数据和同期的 HbA1c 水平。我们采用标准化方法对青少年的 SCI 进行评分,并计算出他们的胰岛素 BOLUS 平均得分。在分析中,我们使用了简单相关、部分相关和多元回归模型:青少年的平均年龄为(15.03 ± 1.97)岁,平均诊断时间为(8.11 ± 3.26)年,平均 HbA1c 为(8.78 ± 1.49)%。样本中包括 n = 58 个男孩(55%)和 n = 96 个家庭(91%),他们自认为是白人。青少年的年龄、HbA1c、SCI 总分和 BOLUS 分数之间的简单相关性都很显著。部分相关和回归模型显示,青少年的胰岛素 BOLUS 得分与 HbA1c 的相关性比 SCI 更强:结论:青少年胰岛素 BOLUS 评分与 HbA1c 的同期有效性优于 SCI。我们应考虑将 BOLUS 评分作为胰岛素泵数据报告中的一项结果指标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mealtime Insulin BOLUS Score More Strongly Predicts HbA1c Than the Self-Care Inventory in Youth With Type 1 Diabetes.

Background: To meet their glycated hemoglobin (HbA1c) goals, youth with type 1 diabetes (T1D) need to engage with their daily T1D treatment. The mealtime insulin Bolus score (BOLUS) is an objective measure of youth's T1D engagement which we have previously shown to be superior to other objective engagement measures in predicting youth's HbA1c. Here, to further assess the BOLUS score's validity, we compared the strengths of the associations between youth's HbA1c with their mean insulin BOLUS score and a valid, self-report measure of T1D engagement, the Self-Care Inventory (SCI).

Methods: One-hundred and five youth with T1D self-reported their T1D engagement using the SCI. We also collected two weeks of insulin pump data and a concurrent HbA1c level. We scored youth's SCI and calculated their mean insulin BOLUS score using standardized methods. For the analyses, we performed simple correlations, partial correlations, and multiple regression models.

Results: Youth had a mean age of 15.03 ± 1.97 years, mean time since diagnosis of 8.11 ± 3.26 years, and a mean HbA1c of 8.78 ± 1.49%. The sample included n = 58 boys (55%) and n = 96 families (91%) self-identified as white. Simple correlations between youth's age, HbA1c, SCI total score, and BOLUS score were all significant. Partial correlation and regression models revealed that youth's insulin BOLUS score was more strongly associated with HbA1c than the SCI.

Conclusions: Youths' BOLUS score has better concurrent validity with HbA1c than the SCI. We should consider reporting the BOLUS score as an outcome metric in insulin pump data reports.

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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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