The Influence of Initial Management and Family Stress on Metabolic Control in Children with Type 1 Diabetes
Author
Summary, in English
The aim was to assess whether temporal changes in the initial management for children diagnosed with type 1 diabetes
over a ten year period affected metabolic control two years after diagnosis. A further aim was to investigate if social
factors, registered at diagnosis, had an impact on metabolic control two years after diagnosis. During the years
1997-2006, 247 children and adolescents were diagnosed with type 1 diabetes at a University Hospital in Sweden. The
analysed data included HbA1c, pH at diagnosis, initial intravenous insulin infusion and length of hospital stay at diagnosis,
subcutaneous insulin type, number of diabetes check-up visits, emergency visits, re-admissions and social factors.
Length of hospital stay decreased significantly over the ten year period. Neither hospital stay nor differences in insulin
treatment was significantly correlated with children’s metabolic control over time. Length of hospital stay was not related
with families’ social stress situation. However, girls in families with more family stress at the time of diagnosis
had higher HbA1c during follow-up than girls with less family stress or boys. Factors of importance for the child’s
long-term metabolic control need to be further investigated so the initial management can be tailored to each individual
family’s needs. This would imply an effective utilization of both families’ and health care resources.
over a ten year period affected metabolic control two years after diagnosis. A further aim was to investigate if social
factors, registered at diagnosis, had an impact on metabolic control two years after diagnosis. During the years
1997-2006, 247 children and adolescents were diagnosed with type 1 diabetes at a University Hospital in Sweden. The
analysed data included HbA1c, pH at diagnosis, initial intravenous insulin infusion and length of hospital stay at diagnosis,
subcutaneous insulin type, number of diabetes check-up visits, emergency visits, re-admissions and social factors.
Length of hospital stay decreased significantly over the ten year period. Neither hospital stay nor differences in insulin
treatment was significantly correlated with children’s metabolic control over time. Length of hospital stay was not related
with families’ social stress situation. However, girls in families with more family stress at the time of diagnosis
had higher HbA1c during follow-up than girls with less family stress or boys. Factors of importance for the child’s
long-term metabolic control need to be further investigated so the initial management can be tailored to each individual
family’s needs. This would imply an effective utilization of both families’ and health care resources.
Publishing year
2010
Language
English
Pages
41-47
Publication/Series
International Journal of Clinical Medicine
Volume
1
Issue
2
Links
Document type
Journal article
Publisher
Scientific Research Publishing (SCIRP)
Topic
- Medical and Health Sciences
Keywords
- Disease Management
- Type 1 Diabetes
- Patient Admission
- Life Stress
- Hemoglobin A1c
Status
Published
Research group
- Child and Family Health
ISBN/ISSN/Other
- ISSN: 2158-2882