المؤلفون: Yoldi-Vergara, Carmen, Conget-Donlo, Ignacio, Cardona-Hernandez, Roque, Ramon-Krauel, Marta

المصدر: Endocrinol Diabetes Nutr (Engl Ed) ; ISSN:2530-0180

مصطلحات موضوعية: Adherence, Adherencia, Calidad de vida, Control glucémico, Diabetes tipo 1, Glycemic control, Nivel socioeconómico, Pediatrics, Pediatría, Quality of life, Socioeconomic status, Type 1 diabetes

الوصف: To stablish the relationship between socioeconomic status of a cohort of children and adolescents with type 1 diabetes (T1D) with glycemic control, therapeutic adherence and diabetes quality of life (DQoL).

العلاقة: https://doi.org/10.1016/j.endien.2024.04.003Test; https://pubmed.ncbi.nlm.nih.gov/38942702Test

الإتاحة: https://doi.org/10.1016/j.endien.2024.04.003Test
https://pubmed.ncbi.nlm.nih.gov/38942702Test

المؤلفون: Beato-Víbora, Pilar Isabel, Chico, Ana, Moreno-Fernandez, Jesus, Bellido-Castañeda, Virginia, Nattero-Chávez, Lia, Picón-César, María José, Martínez-Brocca, María Asunción, Giménez-Álvarez, Marga, Aguilera-Hurtado, Eva, Climent-Biescas, Elisenda, Azriel-Mir, Sharona, Rebollo-Román, Ángel, Yoldi-Vergara, Carmen, Pazos-Couselo, Marcos, Alonso-Carril, Nuria, Quirós, Carmen

المصدر: Diabetes Care; Feb2024, Vol. 47 Issue 2, p216-224, 9p

مصطلحات موضوعية: CLOSED loop systems, TYPE 1 diabetes, SLEEP quality, GLYCEMIC control, SATISFACTION

مستخلص: OBJECTIVE: Advanced hybrid closed-loop systems (AHCL) have been shown to improve glycemic control and patient-reported outcomes in type 1 diabetes. The aim was to analyze the outcomes of two commercially available AHCL in real life. RESEARCH DESIGN AND METHODS: A prospective study was performed, including adolescents and adults with type 1 diabetes, AHCL naïve, from 14 centers, who initiated the use of MM780G with SmartGuard or Tandem t:slimX2 with Control-IQ. Baseline and 3-month evaluations were performed, assessing HbA1c, time in different glycemic ranges, and patient-reported outcomes. The primary outcome was the between-group time in range 70–180 mg/dL difference from beginning to end of follow-up. RESULTS: One hundred fifty participants were included, with 75 initiating each system (age: 39.9 ± 11.4 years [16–72]; 64% female; diabetes duration: 21.6 ± 11.9 years). Time in range increased from 61.53 ± 14.01% to 76.17 ± 9.48% (P < 0.001), with no between-group differences (P = 0.591). HbA1c decreased by 0.56% (95% CI 0.44%, 0.68%) (6 mmol/mol, 95% CI 5, 7) (P < 0.001), from 7.43 ± 1.07% to 6.88 ± 0.60% (58 ± 12 to 52 ± 7 mmol/mol) in the MM780G group, and from 7.14 ± 0.70% to 6.56 ± 0.53% (55 ± 8 to 48 ± 6 mmol/mol) in the Control-IQ group (both P < 0.001 to baseline, P = 0.819 between groups). No superiority of one AHCL over the other regarding fear of hypoglycemia or quality of life was found. Improvement in diabetes-related distress was higher in Control-IQ users (P = 0.012). Sleep quality was improved (PSQI: from 6.94 ± 4.06 to 6.06 ± 4.05, P = 0.004), without differences between systems. Experience with AHCL, evaluated by the INSPIRE measures, exceeded the expectations. CONCLUSIONS: The two AHCL provide significant improvement in glucose control and satisfaction, with no superiority of one AHCL over the other. [ABSTRACT FROM AUTHOR]

: Copyright of Diabetes Care is the property of American Diabetes Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Vidal Flor,Mercè, Jansà i Morató,Margarida, Yoldi Vergara,Carmen, Cardona-Hernández,Roque, Giménez Alvárez,Marga, Conget Donlo,Ignacio, Isla Pera,Pilar

مصطلحات موضوعية: Patient Preference and Adherence

الوصف: Mercè Vidal Flor,1 Margarida Jansà i Morató,1 Carmen Yoldi Vergara,2 Roque Cardona-Hernández,2 Marga Giménez Alvárez,1 Ignacio Conget Donlo,1 Pilar Isla Pera3 1Diabetes Unit, Department of Endocrinology and Nutrition, Hospital Clínic of Barcelona, Barcelona, Spain; 2Diabetes Unit, Endocrinology Service, Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, Spain; 3School of Nursing, University of Barcelona, Barcelona, SpainCorrespondence: Mercè Vidal Flor, Diabetes Unit, Department of Endocrinology and Nutrition, Hospital Clínic of Barcelona, Villarroel, 170, Barcelona, 08036, Spain, Tel +34 93 2279846, Email mvidal@clinic.catIntroduction: The management of type 1 diabetes (T1D) is especially complex during adolescence when youths are transferred to adult care centres. The objectives of this qualitative study were to: a) determine the expectations of young T1D patients prior to transfer, b) evaluate the transfer process between the 2 centres, and c) evaluate the therapeutic education and care programme (TECP) in the adult centre from their point of view.Material and Methods: Opinion sampling of adolescents from 2018– 2019 was performed: Phase 1: adolescents with T1D prior to transfer to the adult hospital; Phase 2: adolescents with T1D one or two years after transfer and having undergone TECP. A focus group (1.5h) and semi-structured interviews (45 min) were performed and taped, transcribed, and sent to the participants for confirmation. Date analysis was performed of the transcriptions of the focus group and interviews. Fragments were selected and meta-categories created.Results: Eleven youths accepted to participate: 7 in Phase 1, 4 repeated in Phase 2 and 4 more transferred 2 years previously were added. The meta-categories obtained were: 1) perception of the quality of care and therapeutic education in the paediatric hospital. 2) transfer to the adult hospital. 3) experience of the youths 1– 2 years after transfer and having undergone TECP. The data are presented in narrative form and ...

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العلاقة: https://www.dovepress.com/type-1-diabetes-patient-experiences-before-and-after-transfer-from-a-p-peer-reviewed-fulltext-article-PPATest

الإتاحة: https://doi.org/10.2147/PPA.S363081Test
https://www.dovepress.com/type-1-diabetes-patient-experiences-before-and-after-transfer-from-a-p-peer-reviewed-fulltext-article-PPATest

المؤلفون: Vidal Flor, Mercè, Jansà i Morató, Margarida, Yoldi Vergara, Carmen, Cardona-Hernández, Roque, Giménez Alvárez, Marga, Conget Donlo, Ignacio, Isla Pera, Pilar

المصدر: Patient Preference and Adherence ; volume Volume 16, page 2229-2246 ; ISSN 1177-889X

الإتاحة: https://doi.org/10.2147/ppa.s363081Test
https://www.dovepress.com/getfile.php?fileID=83155Test

المؤلفون: Yoldi Vergara, Carmen, Conget Donlo, Ignacio, Cardona-Hernandez, Roque, Goicoechea Manterola, Irune, Rouco Gómez, María Teresa, Llobet Garcés, Marina, Ramon-Krauel, Marta

المصدر: Journal of Pediatric Nursing; Sep2023, Vol. 72, p146-152, 7p

مستخلص: Evaluation of the degree of adherence to self-care among Spanish type 1 diabetes (T1DM) pediatric population lacks of a validated tool. To cross-culturally adapt and determine the psychometric properties of the Spanish version of the Diabetes Management Questionnaire to assess the degree of adherence to self-care among children with T1DM. Translation, back-translation, and patient suggestions, were considered to obtain the Spanish version (DMQ-Sp). A cross-sectional study was conducted with 323 children (aged 8–18 years) with T1DM and their parents to determine internal reliability, structural validity, and external validity. Responsiveness to change was analyzed through a prospective longitudinal study involving 102 newly diagnosed T1DM patients. Psychometrics were evaluated for the entire sample and stratified by age (8–12 and 13–18 years). A total of 323 children with T1DM [49.8% female; age 13.3 ± 2.8 years; 155 aged 8–12; glycated hemoglobin (HbA1c) value 7.7 ± 1.0%] answered the Spanish final version. The internal consistency Cronbach's alpha was 0.76 and intraclass correlation coefficient 0.84. Test-retest reliability was r = 0.84 (p < 0.001). Fit index of structural validity was >0.7. External validity correlated inversely with HbA1c (r = −0.39; p < 0.001). The DMQ-Sp score increased significantly after 6 months of receiving the full therapeutic education program (TEP) (baseline 57.07 ± 10.81 vs. 6 months 78.80 ± 10.31; p < 0.001). The DMQ-Sp is reliable, valid, and sensitive to change in a large sample of children (aged 8–18 years) with T1DM and their parents. DMQ-Sp can be a useful tool for diabetes teams to identify adherence to different tasks and to evaluate TEPs. • DMQ-Sp is useful to measure self-care management adherence in T1DM pediatric patients • DMQ-Sp has been adapted for T1DM pediatric patients using CGM • DMQ-Sp evaluate diabetes structured therapeutic education programs' outcomes • DMQ-Sp has an acceptable parent-child agreement [ABSTRACT FROM AUTHOR]

: Copyright of Journal of Pediatric Nursing is the property of W B Saunders and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Beato-Víbora, Pilar Isabel, Chico, Ana, Moreno-Fernandez, Jesus, Bellido-Castañeda, Virginia, Nattero-Chávez, Lia, Picón-César, María José, Martínez-Brocca, María Asunción, Giménez-Álvarez, Marga, Aguilera-Hurtado, Eva, Climent-Biescas, Elisenda, Azriel-Mira, Sharona, Rebollo-Román, Ángel, Yoldi-Vergara, Carmen, Pazos-Couselo, Marcos, Alonso-Carril, Nuria, Quirós, Carmen

المصدر: Diabetes Care; May2024, Vol. 47 Issue 5, pe46-e47, 2p

مصطلحات موضوعية: CLOSED loop systems, DIABETES, TYPE 1 diabetes, GLYCEMIC control

مستخلص: The article discusses the comparative analysis of two advanced hybrid closed-loop systems in real-world scenarios. Topics include the assessment of HbA1c improvement, time in range (TIR), and potential factors influencing the differences in outcomes between the evaluated systems, such as study design, baseline treatment, and patient characteristics.

المؤلفون: Vidal Flor, Mercè, Jansà i Morató, Margarida, Roca Espino, Daria, Viñals Domenech, Clara, Quirós López, Carmen, Mesa Pineda, Álex, Yoldi Vergara, Carmen, Cardona-Hernandez, Roque, Giménez Álvarez, Marga, Esmatjes Mompó, Enric, Conget Donlo, Ignacio

المصدر: Endocrinología, Diabetes y Nutrición (English ed.) ; volume 68, issue 2, page 82-91 ; ISSN 2530-0180

الإتاحة: https://doi.org/10.1016/j.endien.2020.06.010Test
https://api.elsevier.com/content/article/PII:S2530018021000202?httpAccept=text/xmlTest
https://api.elsevier.com/content/article/PII:S2530018021000202?httpAccept=text/plainTest

المؤلفون: Vidal Flor, Mercè, Jansà i Morató, Margarida, Roca Espino, Daria, Viñals Domenech, Clara, Quirós López, Carmen, Mesa Pineda, Álex, Yoldi Vergara, Carmen, Cardona-Hernandez, Roque, Giménez Álvarez, Marga, Esmatjes Mompó, Enric, Conget Donlo, Ignacio

المصدر: Endocrinología, Diabetes y Nutrición ; volume 68, issue 2, page 82-91 ; ISSN 2530-0164

مصطلحات موضوعية: Nutrition and Dietetics, Endocrinology, Endocrinology, Diabetes and Metabolism

الإتاحة: https://doi.org/10.1016/j.endinu.2020.06.001Test
https://api.elsevier.com/content/article/PII:S2530016420301567?httpAccept=text/xmlTest
https://api.elsevier.com/content/article/PII:S2530016420301567?httpAccept=text/plainTest

المؤلفون: Yoldi-Vergara, Carmen, Conget-Donlo, Ignacio, Cardona-Hernandez, Roque, Ramon-Krauel, Marta

المصدر: Endocrinología, Diabetes y Nutrición; 20240101, Issue: Preprints

مستخلص: Analizar la relación entre los factores socioeconómicos en que convive una cohorte de niños y adolescentes con diabetes mellitos tipo 1 (DM1) con el grado de control glucémico, adherencia terapéutica y calidad de vida (calidad de vida relacionada con la diabetes [CVRD]).

العنوان البديل: Therapeutic education program addressed to young people with type 1 diabetes transferred from the pediatric center to the adult hospital. (English)

المؤلفون: VIDAL FLOR, MERCÉ, MORATÓ, MARGARIDA JANSÁ I., ROCA ESPINO, DARIA, YOLDI VERGARA, CARMEN, CARDONA HERNÁNDEZ, ROQUE, GIMÉNEZ ALVÁREZ, MARGA, CONGET DONLO, IGNACIO

المصدر: Revista ROL de Enfermería; 2019, Vol. 42 Issue 7/8, p46-52, 7p