alexa The Relationship between Self-Management and Glycemic C
ISSN: 2155-6156

Journal of Diabetes & Metabolism
Open Access

Like us on:
OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Research Article

The Relationship between Self-Management and Glycemic Control in A Cohort of Children with Type 1 and Type 2 Diabetes

Luisa M Rodriguez1, Krishnavathana V Hassan1, Jeffrey Rhodes1, Siripoom V McKay1 and Rubina A Heptulla2*

1Department of Pediatric Endocrinology and Metabolism, Texas Children’s Hospital, Baylor College of Medicine, USA

2Department of Pediatric Endocrinology and Diabetes, Albert Einstein College of Medicine, USA

Corresponding Author:
Rubina A Heptulla
Department of Pediatric Endocrinology and Diabetes
Albert Einstein College of Medicine
77030-2399, USA
Tel: 718-920- 4664
Fax: 718-405-5609
E-mail: [email protected]

Received Date: July 05, 2013; Accepted Date: December 10, 2013; Published Date: December 15, 2013

Citation: Rodriguez LM, Hassan KV, Rhodes J, McKay SV, Heptulla RA (2013) The Relationship between Self-Management and Glycemic Control in a Cohort of Children with Type 1 and Type 2 Diabetes. J Diabetes Metab 4:319. doi:10.4172/2155-6156.1000319

Copyright: © 2013 Rodriguez LM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Aim: Self-management of diabetes improves glycemic control. The development of a quick, objective questionnaire in the clinic setting may provide data to the clinician caring for the patient in overall evaluation.

Objective: We developed a 23 question tool (clinic preparedness score) and administered it to type 1 and 2 (T1DM & T2DM) diabetes patients. Clinicians of patients were surveyed to determine their perception of adherence by patients. A total of 350 T1DM patients and families and 137 T2DM families were administered the questionnaire. Additionally, HbA1C was correlated to the various parameters that are related to improved glycemic control such as having a meter, carrying glucose tablets for hypoglycemia, and downloading/ writing blood sugars in log book in T1DM and T2DM.

Results: T1DM subjects had a lower HbA1C with better clinic preparedness (8.2 ± 1.3 vs 9.4 ± 1.9%) However, this did not hold true for T2DM (p NS). If T1DM subjects adjusted their insulin dose and reported that their parent was involved they had better HbA1C than those that did not change insulin dose and if parent was uninvolved in the care. Clinicians of patients were able to accurately predict that appropriate dose adjustments resulted in good glycemic control.

Conclusions: Pediatric T2DM adherence measures do not mirror similar characteristics of T1DM in childhood. The variability in glucose monitoring, medication and insulin administration may affect T2DM differently than T1DM.

Keywords

Share This Page

Additional Info

Loading
Loading Please wait..
 
Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords