School and pre-school children with type 1 diabetes during Covid-19 quarantine: The synergic effect of parental care and technology.
Diabetes Res Clin Pract
; 166: 108302, 2020 Aug.
Article
em En
| MEDLINE
| ID: mdl-32623034
ABSTRACT
INTRODUCTION:
Management of Type 1 Diabetes (T1D) poses numerous challenges, especially for young children and their families. Parental care positively influencesthe outcomesofchildren with T1D, while there are often criticisms in school environment. The COVID-19 pandemic has forced children and parents to spend many hours at home and diabetes care has returned mainly in the hands of parents. AIM OF THE STUDY To evaluate the effectiveness of exclusive return to parental care in pre-school and school children with T1D treated with Tandem Basal IQ system during the COVID-19 pandemic. PATIENTS ANDMETHODS:
22 children (MF = 148) with T1D have been evaluated. We compared insulin and CGM data (TIR, TBR and TAR) of two periods PRE-COV and IN-COV, in which children have transitioned from normal school attendance to the exclusive care of their parents.RESULTS:
During the IN-COV period a significantly (p < 0.001) higher median value of TIR (66,41%) was observed as compared to PRE-COV period (61,45%). Patients also showed a statistically significant difference (p < 0.002) between the IN-COV period and the PRE-COV period as concerning the TAR metric respectively 29,86 ± 10,6% vs 34,73 ± 12,8%. The difference between the bolus insulin doses was statistically significant (PRE-COV 5,3 IU/day, IN-COV 7,9 IU/day - p < 0.05).CONCLUSION:
Our observational real-life study confirms the positive effect of parental care in T1D very young children and demonstrates that during the COVID-19 pandemic it was possible to obtain a good glycometabolic compensation despite the significant change in lifestyle.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Contexto em Saúde:
2_ODS3
/
4_TD
Problema de saúde:
2_cobertura_universal
/
2_enfermedades_transmissibles
/
4_pneumonia
Assunto principal:
Pais
/
Pneumonia Viral
/
Quarentena
/
Infecções por Coronavirus
/
Diabetes Mellitus Tipo 1
/
Pandemias
/
Betacoronavirus
/
Hipoglicemiantes
/
Insulina
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
/
Newborn
País/Região como assunto:
Europa
Idioma:
En
Revista:
Diabetes Res Clin Pract
Assunto da revista:
ENDOCRINOLOGIA
Ano de publicação:
2020
Tipo de documento:
Article