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Quality of Life and Glucose Regulation in Pediatric Patients with Type 1 Diabetes: A Study in the Ningxia Hui Autonomous Region.
Bai, Hua; He, Na; Zhang, Yan; Ahmad, Aqsa; Yang, Xing-Xing; Ma, Yan; Liang, Li-Jun.
Afiliação
  • Bai H; Department of Pediatrics, General Hospital of Ningxia Medical University, Yinchuan, 750004, People's Republic of China.
  • He N; PKUFH-NINGXIA Women Children's Hospital, Yinchuan, 750001, People's Republic of China.
  • Zhang Y; The First Clinical Medical College of Ningxia Medical University General Hospital, Yinchuan, 750004, People's Republic of China.
  • Ahmad A; The First Clinical Medical College of Ningxia Medical University General Hospital, Yinchuan, 750004, People's Republic of China.
  • Yang XX; The First Clinical Medical College of Ningxia Medical University General Hospital, Yinchuan, 750004, People's Republic of China.
  • Ma Y; The First Clinical Medical College of Ningxia Medical University General Hospital, Yinchuan, 750004, People's Republic of China.
  • Liang LJ; Department of Pediatrics, General Hospital of Ningxia Medical University, Yinchuan, 750004, People's Republic of China.
Diabetes Metab Syndr Obes ; 17: 1267-1278, 2024.
Article em En | MEDLINE | ID: mdl-38496005
ABSTRACT

Objective:

In this study, we aimed to evaluate the current status of the quality of life (QOL) of pediatric patients and plasma glucose concentration regulation in children with type 1 diabetes (T1DM) in the Ningxia Hui autonomous region.

Methods:

The study involved children with T1DM admitted to the General Hospital of Ningxia Medical University between October 2011 and October 2021. The children and their parents completed general information and quality of life (QOL) questionnaires. The regulation of plasma glucose concentration was assessed based on HbA1c levels, and plasma glucose and QOL-influencing components were investigated.

Results:

Among the 136 pediatric patients diagnosed with T1DM, the mean glycated hemoglobin (HbA1c) level was recorded at 8.7% (7.2%, 10.5%). A breakdown of the patient cohort revealed that 44 patients (32.4%) demonstrated good regulation of plasma glucose, 33 patients (24.3%) exhibited acceptable glycemic control, and 59 patients (43.3%) displayed poor regulation of plasma glucose. The control of plasma glucose in pediatric patients diagnosed with T1DM was affected by the duration of the disease, the patient's age, the frequency of daily plasma glucose measurements, the use of CGM, diabetic ketoacidosis (DKA), and the education level of the mother. The control of plasma glucose, dietary management, DKA, the ability to learn, and health education are interfering factors of quality of life in children diagnosed with T1DM. Effective control of plasma glucose may ensure the QOL in children with T1DM, and DKA was the risk factor for QOL.

Conclusion:

In Ningxia, the regulation of plasma glucose in pediatric and adolescent patients with T1DM remains suboptimal, leading to poor QOL. There is a pressing need to enhance glucose regulation and QOL through comprehensive strategies, which include reinforced dietary management, rigorous monitoring of plasma glucose levels, and heightened health education levels.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Diabetes Metab Syndr Obes Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Diabetes Metab Syndr Obes Ano de publicação: 2024 Tipo de documento: Article