Pediatric diabetes glycemic control

The degree of glycemic control that patients with type 1 diabetes achieve during the first 4 to 5 years after diagnosis may set the long-term pattern, research suggests.

Tubeless insulin pump use can provide long-term improvements in glycemic control at a lower total daily dose of insulin compared with multiple daily injections, show results of a retrospective study among children and young adults with type 1 diabetes.

Young patients with type 1 diabetes who have inadequate access to nutritional food are more likely to have poor glycemic control than those from food-secure households, researchers report.

Research shows that intervening to improve the diet quality of adolescents with type 1 diabetes does not exacerbate disordered eating behavior.

US researchers call for tailored clinical programs and policies to improve the transition from pediatric to adult care, and thus prevent worsening glycemic control, in young adults with type 2 diabetes.

The risk of having a repeat episode of severe hypoglycemia is elevated for at least 4 years after a previous episode in children with type 1 diabetes, although the risk is highest during the first year, researchers report.

Peer and parental support are important factors influencing diabetes-related distress among adolescents and young adults with type 1 diabetes, researchers report.

Findings from a population-based study indicate that insulin pump use is associated with reduced risks for severe hypoglycemia and diabetic ketoacidosis in children, adolescents, and young adults with type 1 diabetes.

Adolescents with type 1 diabetes attending a ski camp achieved better glycemic control with closed-loop control than with a sensor-augmented insulin pump, researchers report.

Session attendance was only moderate and self-monitoring very poor in youths with type 2 diabetes who participated in the TODAY lifestyle programme, an analysis shows.

Lower levels of glycated hemoglobin are associated with better diabetes-specific health-related quality of life among young people with type 1 diabetes, researchers report.

Cognitive behavioral therapy may be a more effective intervention than non-directive, supportive counselling to help adolescents with type 1 diabetes to maintain glycemic control, a randomized control trial shows.

Research suggests that a predictive low-glucose management system significantly reduces hypoglycemic events in children and adolescents with type 1 diabetes.