Parental monitoring for type 1 diabetes in genetically at‐risk young children: The TEDDY study
| Autor: | Kristian Lynch, Laura B Smith, Suzanne Bennett Johnson, Kimberly A. Driscoll |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Blood Glucose Male Parents Longitudinal study Diabetes risk Adolescent Endocrinology Diabetes and Metabolism Health Behavior Population The Environmental Determinants of Diabetes in the Young 030209 endocrinology & metabolism Anxiety Article 03 medical and health sciences 0302 clinical medicine Risk Factors HLA-DQ Antigens Diabetes mellitus Internal Medicine Humans Medicine Genetic Predisposition to Disease Longitudinal Studies 030212 general & internal medicine Parent-Child Relations Child education Autoantibodies Monitoring Physiologic Type 1 diabetes education.field_of_study Parenting business.industry Blood Glucose Self-Monitoring Infant Newborn Infant medicine.disease Diabetes Mellitus Type 1 Child Preschool Pediatrics Perinatology and Child Health Cohort Female Patient Participation medicine.symptom business Demography |
| Zdroj: | Pediatr Diabetes |
| ISSN: | 1399-5448 1399-543X |
| Popis: | Objective We examined parental diabetes monitoring behaviors in a cohort of children at increased genetic risk for type 1 diabetes. We hypothesized that being informed of a positive islet autoantibody (IA) would increase monitoring behaviors. Methods The Environmental Determinants of Diabetes in the Young (TEDDY) study follows 8676 children with high-risk HLA-DQ genotypes from birth to age 15, including general population children (GP) and those with a first-degree relative (FDR) with diabetes. Data on parental monitoring behaviors were solicited yearly. Serum samples were tested for IA and parents were informed of child results. We examined parental monitoring behaviors during the first 7 years of TEDDY. Results In IA- children, the most common monitoring behavior was participating in TEDDY study tasks; up to 49.8% and 44.2% of mothers and fathers, respectively, reported this. Among FDRs, 7-10% reported watching for diabetes symptoms and 7-9% reported monitoring the child's glucose, for mothers and fathers, respectively. After IA+ notification, all monitoring behaviors significantly increased in GP parents; only glucose monitoring increased in FDR parents and these behaviors continued for up to 4 years. FDR status, accurate diabetes risk perception, and anxiety were associated with glucose monitoring in IA+ and IA- cohorts. Conclusions Many parents view TEDDY participation as a way to monitor for type 1 diabetes, a benefit of enrollment in a longitudinal study with no prevention offered. IA+ notification increases short- and long-term monitoring behaviors. For IA- and IA+ children, FDR parents engage in glucose monitoring, even when not instructed to do so. This article is protected by copyright. All rights reserved. |
| Databáze: | OpenAIRE |
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