Impacto de la educación diabetológica en el control de la diabetes mellitus tipo 1 en la edad pediátrica
- Daniel E. Alonso Martín 1
- María Belén Roldán Martín 1
- M. Ángeles Álvarez Gómez 1
- Rosa Yelmo Valverde 1
- María Martín Frías 1
- Milagros Alonso Blanco 1
- Raquel Barrio Castellanos 1
- 1 Servicio de Pediatría, Hospital Universitario Ramón y Cajal
ISSN: 1575-0922
Year of publication: 2016
Volume: 63
Issue: 10
Pages: 536-542
Type: Article
More publications in: Endocrinología y nutrición: órgano de la Sociedad Española de Endocrinología y Nutrición
Abstract
Introduction Diabetes education is an essential tool to achieve treatment objectives in type 1 diabetes mellitus (T1DM). The aim of this study was to determine if understanding of diabetes by caregivers/patients or sociodemographic factors affect blood glucose control in children and adolescents with T1DM. Patients and methods The level of knowledge of 105 caregivers of children and adolescents with T1DM was assessed using a survey adapted to the type of treatment used (multiple dose insulin [MDI] or continuous subcutaneous insulin infusion [CSII]). Mean HbA1c levels in the previous year was considered as metabolic control marker. Results Mean HbA1c levels were similar in both treatment groups, with slightly higher values in children over 12 years of age. Patients on CSII had a longer time since disease onset and had poorer results, maybe because the items were more difficult due to the higher level of knowledge required for this treatment modality (P = .005). Caregivers with lower educational levels achieved poorer scores in the survey, but mean HbA1c levels of their children were lower, probably because of their greater involvement in disease care. Conclusions The level of knowledge of caregivers and/or patients with T1DM was high, and this was associated to good metabolic control. Studies to assess the impact of caregiver knowledge on metabolic control of children are needed.