School and pre-school children with type 1 diabetes during covid-19 quarantine: the synergic effect of parental care and technology
| Autor: | Gabriele Schiaffini, Fabrizio Barbetti, Stefano Cianfarani, M. C. Matteoli, Ippolita Patrizia Patera, Annalisa Deodati, Riccardo Schiaffini, Elena Inzaghi, Novella Rapini, Paolo Ciampalini, Antonella Lorubbio, Chiara Carducci |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
Parents medicine.medical_specialty Adolescent Endocrinology Diabetes and Metabolism Pneumonia Viral MEDLINE 030209 endocrinology & metabolism Article 03 medical and health sciences Betacoronavirus Settore MED/13 0302 clinical medicine Endocrinology Diabetes mellitus Pandemic medicine Internal Medicine Humans Hypoglycemic Agents Insulin 030212 general & internal medicine Child Pandemics Retrospective Studies Type 1 diabetes business.industry SARS-CoV-2 Infant Newborn COVID-19 Infant Retrospective cohort study General Medicine medicine.disease Prognosis Diabetes Mellitus Type 1 Basal (medicine) Italy Family medicine Child Preschool Quarantine Observational study Female business Coronavirus Infections Paternal care |
| Zdroj: | Diabetes Research and Clinical Practice |
| ISSN: | 1872-8227 0168-8227 |
| Popis: | Introduction Management of Type 1 Diabetes (T1D) poses numerous challenges, especially for young children and their families. Parental care positively influences the outcomes of children 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 and methods 22 children (M:F = 14:8) 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 |
| Databáze: | OpenAIRE |
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