التفاصيل البيبلوغرافية
| العنوان: |
Carbohydrate Counting, Empowerment and Glycemic Outcomes in Adolescents and Young Adults with Long Duration of Type 1 Diabetes |
| المؤلفون: |
Jelleryd, Elisabeth, Brorsson, Anna Lena, Smart, Carmel E., Käck, Ulrika, Lindholm Olinder, Anna |
| المساهمون: |
The University of Newcastle. College of Health, Medicine & Wellbeing, School of Health Sciences |
| بيانات النشر: |
MDPI AG |
| سنة النشر: |
2023 |
| المجموعة: |
NOVA: The University of Newcastle Research Online (Australia) |
| مصطلحات موضوعية: |
adolescents, carbohydrate counting, children, diabetes type 1, empowerment, young adults, SDG 3, Sustainable Development Goals |
| الوصف: |
The complex treatment for diabetes type 1 (T1D) includes insulin dosing for every meal, which requires education and experience to achieve optimal outcomes. Advanced carbohydrate counting (ACC) is the recommended method. We studied ACC as part of a standard treatment with the aim to explore its associations with glycemic control and empowerment in adolescents and young adults. We used national registry data on glycemic outcomes, a study-specific questionnaire regarding the use of ACC and the Gothenburg Young Persons Empowerment Scale (GYPES) to measure empowerment. A total of 111 participants (10-28 years of age, diabetes duration >9 years, mean HbA1c of 55.4 mmol/mol) answered the questionnaire. We found that most participants (79.3%) who learn ACC, at onset or later, continue to use the method. A higher level of empowerment was associated with lower HbA1c (p = 0.021), making patient empowerment an important factor in achieving optimal glycemic outcomes. No associations were found between ACC and empowerment or glycemic outcomes. A mixed strategy, only using ACC sometimes when insulin dosing for meals, was associated with the lowest empowerment score and highest HbA1c and should warrant extra education and support from the diabetes team to reinforce a dosing strategy. |
| نوع الوثيقة: |
article in journal/newspaper |
| اللغة: |
English |
| تدمد: |
2072-6643 |
| العلاقة: |
Nutrients Vol. 15, Issue 22, no. 4825; http://hdl.handle.net/1959.13/1495332Test; uon:53985 |
| الإتاحة: |
http://hdl.handle.net/1959.13/1495332Test |
| حقوق: |
x |
| رقم الانضمام: |
edsbas.DF9FBB34 |
| قاعدة البيانات: |
BASE |
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