持续血糖监测对1型糖尿病幼儿及其父母日常生活的影响:114个家庭的评估

IF 2.6 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM
K. Aouchiche , D. Bernoux , E. Baechler Sadoul , E. Haine , F. Joubert , S. Epstein , N. Faure Galon , F. Dalla-Vale , J.C. Combe , M. Samper , G. Simonin , S. Castets , E. Marquant , J. Vergier , R. Reynaud
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引用次数: 0

摘要

导读:1型糖尿病的患病率在全球范围内呈上升趋势。新的监测设备的出现使血糖控制更加严格。目的:探讨血糖监测设备对幼儿1型糖尿病(T1D)及其家长日常生活的影响。方法:对2020年1月至7月在法国ADIM网络医院接受胰岛素泵治疗的6岁以下T1D儿童的父母进行问卷调查。结果:在纳入研究的114个家庭中,53%的父母(26/49)在孩子进行瞬时血糖监测(FGM)时每晚醒来监测血糖水平,而在孩子进行连续血糖监测(CGM)的家庭中,这一比例为23%(13/56)。总体而言,81%的父母(86/108)发现血糖监测改善了他们自己的睡眠,患有CGM的孩子的父母更有可能报告睡眠改善(86%对73%,p = 0.006)。49%的父母(55/113)声称他们(在87%的情况下,只有母亲)在孩子被诊断为T1D后减少了工作时间或停止了工作。母亲失业与兄弟姐妹的存在显著相关(p = 0.001),但与血糖控制无关(p = 0,87)。98%的家长(105/107)认为血糖监测有助于学校整合。结论:在这些T1D儿童家庭中,新的糖尿病技术减轻了护理负担,但睡眠中断仍然很常见。社会需求评估,特别是母亲的社会需求评估,在儿童T1D的初步诊断中是重要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of continuous glucose monitoring on everyday life of young children with type 1 diabetes and their parents: An evaluation of 114 families

Introduction

The prevalence of type 1 diabetes is increasing worldwide. The advent of new monitoring devices has enabled tighter glycemic control.

Aim

To study the impact of glucose monitoring devices on the everyday life of young children with type 1 diabetes (T1D) and their parents.

Methods

A questionnaire was addressed to parents of children with T1D under the age of 6 years with an insulin pump treated in one of the hospitals of the ADIM network in France between January and July 2020.

Results

Among the 114 families included in the study, 53% of parents (26/49) woke up every night to monitor blood glucose levels when their child had flash glucose monitoring (FGM), compared with 23% (13/56) of those whose child had continuous glucose monitoring (CGM). Overall, 81% of parents (86/108) found that glucose monitoring improved their own sleep and parents whose child had CGM were significantly more likely to report improved sleep (86% vs 73%, p = 0.006). Forty-nine percent of parents (55/113) declared that they (in 87% of cases, the mother only) had reduced their working hours or stopped working following their child’s T1D diagnosis. Maternal unemployment was significantly associated with the presence of siblings (p = 0.001) but not with glycemic control (p = 0,87). Ninety-eight percent of parents (105/107) think that glucose monitoring improves school integration.

Conclusion

In these families of children with T1D, new diabetes technologies reduced the burden of care but sleep disruption remained common. Social needs evaluation, particularly of mothers, is important at initial diagnosis of T1D in children.

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来源期刊
Primary Care Diabetes
Primary Care Diabetes ENDOCRINOLOGY & METABOLISM-PRIMARY HEALTH CARE
CiteScore
5.00
自引率
3.40%
发文量
134
审稿时长
47 days
期刊介绍: The journal publishes original research articles and high quality reviews in the fields of clinical care, diabetes education, nutrition, health services, psychosocial research and epidemiology and other areas as far as is relevant for diabetology in a primary-care setting. The purpose of the journal is to encourage interdisciplinary research and discussion between all those who are involved in primary diabetes care on an international level. The Journal also publishes news and articles concerning the policies and activities of Primary Care Diabetes Europe and reflects the society''s aim of improving the care for people with diabetes mellitus within the primary-care setting.
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