Impact of diabetes education on type 1 diabetes mellitus control in children

• Published in: Endocrinologia y nutrición (English ed.) Vol. 63; no. 10; pp. 536 - 542
• Main Authors: Alonso Martín, Daniel E, Roldán Martín, M. Belén, Álvarez Gómez, M. Ángeles, Yelmo Valverde, Rosa, Martín-Frías, María, Alonso Blanco, Milagros, Barrio Castellanos, Raquel
• Format: Journal Article
• Language: English
• Published: Elsevier España, S.L.U 01.12.2016
• Subjects: Administración subcutánea; Bomba de insulina; Diabetes education; Diabetes mellitus tipo 1; Educación diabetológica; Endocrinology & Metabolism; Insulin; Insulin pump; Insulina; Subcutaneous administration; Type 1 diabetes mellitus; Diabetes education; Insulina; Insulin pump; Diabetes mellitus tipo 1; Subcutaneous administration; Educación diabetológica; Bomba de insulina; Insulin; Administración subcutánea; Type 1 diabetes mellitus
• ISSN: 2173-5093; 2173-5093
• DOI: 10.1016/j.endoen.2016.08.012

Abstract Introduction Diabetes education is an essential tool to achieve treatment objectives in type 1 diabetes mellitus (T1DM). The aim of this study was to determine if understanding of diabetes by caregivers/patients or sociodemographic factors affect blood glucose control in children and adolescents with T1DM. Patients and methods The level of knowledge of 105 caregivers of children and adolescents with T1DM was assessed using a survey adapted to the type of treatment used (multiple dose insulin [MDI] or continuous subcutaneous insulin infusion [CSII]). Mean HbA1c levels in the previous year was considered as metabolic control marker. Results Mean HbA1c levels were similar in both treatment groups, with slightly higher values in children over 12 years of age. Patients on CSII had a longer time since disease onset and had poorer results, maybe because the items were more difficult due to the higher level of knowledge required for this treatment modality ( p = 0.005). Caregivers with lower educational levels achieved poorer scores in the survey, but mean HbA1c levels of their children were lower, probably because of their greater involvement in disease care. Conclusions The level of knowledge of caregivers and/or patients with T1DM was high, and this was associated to good metabolic control. Studies to assess the impact of caregiver knowledge on metabolic control of children are needed.