المؤلفون: Carreon, Samantha A.¹ sxcarreo@texaschildrens.org, Cao, Viena T.¹, Anderson, Barbara J.¹, Thompson, Deborah I.^1,2, Marrero, David G.³, Hilliard, Marisa E.¹

المصدر: Diabetic Medicine. May2022, Vol. 39 Issue 5, p1-11. 11p.

مصطلحات موضوعية: *RESEARCH methodology, *TYPE 1 diabetes, *INTERVIEWING, *SLEEP disorders, *QUALITATIVE research, *THEMATIC analysis, *PSYCHOLOGICAL distress, *DISEASE complications

مصطلحات جغرافية: UNITED States

مستخلص: Aims: Individuals with type 1 diabetes (T1D) experience greater sleep disturbances than people without diabetes. However, the nature, causes and effects of sleep disruption in individuals with T1D and their family are not well understood. The purpose of this study was to explore and characterise the perspectives of parents, partners and individuals with diabetes about T1D‐related sleep issues. Methods: Participants included 44 youth and adults with T1D (ages 9–69), 24 parents of youth with T1D, and 14 partners of adults with T1D, recruited from diabetes clinics at two academic medical centres in the Southwestern and Midwestern United States. Semi‐structured qualitative interviews were transcribed verbatim, coded and analysed using hybrid thematic analysis. Results: We identified two central themes: Emotional Distress and Sleep Disruption. Each theme had multiple subthemes, and the two central themes were related to one another via a shared subtheme, Worry Impacting Sleep. Conclusions: Complex T1D‐related emotional and behavioural factors both contributed to and resulted from sleep difficulties. Diabetes care providers should routinely assess for sleep concerns in people with T1D and their parents and partners. It may be important to consider both diabetes‐related causes of sleep disruptions and potential impacts on self management and emotional functioning. [ABSTRACT FROM AUTHOR]

المؤلفون: Prigge, R., McKnight, J. A., Wild, S. H., Haynes, A., Jones, T. W., Davis, E. A., Rami-Merhar, B., Fritsch, M., Prchla, C., Lavens, A., Doggen, K., Chao, S., Aronson, R., Brown, R., Ibfelt, E. H., Svensson, J., Young, R., Warner, J. T., Robinson, H., Laatikainen, T., Rautiainen, P., Delemer, B., Souchon, P. F., Diallo, A. M., Holl, R. W., Schmid, S. M., Raile, K., Tigas, S., Bargiota, A., Zografou, I., Luk, A. O. Y., Chan, J. C. N., Dinneen, S. F., Buckley, C. M., Kgosidialwa, O., Cherubini, V., Gesuita, R., Strele, I., Pildava, S., Veeze, H., Aanstoot, H. J., Mul, D., Jefferies, C., Cooper, J. G., Løvaas, K. F., Battelino, T., Dovc, K., Bratina, N., Eeg-Olofsson, Katarina, 1968, Svensson, Ann-Marie, 1961, Gudbjörnsdottir, Soffia, 1962, Globa, E., Zelinska, N.

المصدر: Diabetic Medicine. 39(5)

مصطلحات موضوعية: Endocrinology and Diabetes, Endokrinologi och diabetes, glycaemic control, HbA1c, registers of people with diabetes, type 1 diabetes, glycosylated hemoglobin, adult, child, cross-sectional study, female, glucose blood level, glycemic control, human, insulin dependent diabetes mellitus, male, Blood Glucose, Cross-Sectional Studies, Diabetes Mellitus, Type 1, Glycated Hemoglobin A, Humans

الوصف: Aims: To update and extend a previous cross-sectional international comparison of glycaemic control in people with type 1 diabetes. Methods: Data were obtained for 520,392 children and adults with type 1 diabetes from 17 population and five clinic-based data sources in countries or regions between 2016 and 2020. Median HbA1c(IQR) and proportions of individuals with HbA1c < 58mmol/mol (<7.5%), 58–74mmol/mol (7.5–8.9%) and ≥75mmol/mol (≥9.0%) were compared between populations for individuals aged <15, 15–24 and ≥25 years. Logistic regression was used to estimate the odds ratio (OR) of HbA1c < 58mmol/mol (<7.5%) relative to ≥58mmol/mol (≥7.5%), stratified and adjusted for sex, age and data source. Where possible, changes in the proportion of individuals in each HbA1c category compared to previous estimates were calculated. Results: Median HbA1c varied from 55 to 79mmol/mol (7.2 to 9.4%) across data sources and age groups so a pooled estimate was deemed inappropriate. OR (95% CI) for HbA1c< 58mmol/mol (<7.5%) were 0.91 (0.90–0.92) for women compared to men, 1.68 (1.65–1.71) for people aged <15years and 0.81 (0.79–0.82) aged15–24years compared to those aged ≥25years. Differences between populations persisted after adjusting for sex, age and data source. In general, compared to our previous analysis, the proportion of people with an HbA1c<58mmol/l (<7.5%) increased and proportions of people with HbA1c≥ 75mmol/mol (≥9.0%) decreased. Conclusions: Glycaemic control of type 1 diabetes continues to vary substantially between age groups and data sources. While some improvement over time has been observed, glycaemic control remains sub-optimal for most people with Type 1 diabetes.

الوصول الحر: https://gup.ub.gu.se/publication/320594Test