Dissertations / Theses on the topic 'Diabetes in children'
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Caracciolo, Dana Andriana. "Children's Literature and Diabetes." Thesis, Virginia Tech, 2007. http://hdl.handle.net/10919/31824.
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My studies consider the genre of children's literature, specifically picture books, and their treatment of the topic of diabetes. I frame my argument with an examination of diabetes, the psychological effects of diabetes on the child, the need of thorough education about diabetes. I argue for the use of the picture book as an effect tool in educating and socializing the diabetic child. I first explore the implications of diabetes and the long term complications caused by one's poor control of the disease. I then explore the psychological ramifications of a chronic illness on the young child. Next I assert the need to combine the physiological and psychological factors of diabetes into a responsible text for children, one which both serves as an educating tool and a source of comfort in difficult times with the disease. I conclude my studies with critiques of existing materials in the limited genre and compare them to the story I have written for children about diabetes.Master of Arts
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Dawkins, Melissa K. "Impact of children's diagnosis of diabetes on mothers and children /." Title page, contents and abstract only, 1997. http://web4.library.adelaide.edu.au/theses/09SPS/09spsd271.pdf.
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McKnight, Sarah. "Diabetes Camp." ScholarWorks@UNO, 2008. http://scholarworks.uno.edu/td/708.
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Every summer Camp Hopewell in Oxford, Mississippi hosts its annual summer camps. Over the course of a week, kids between the ages of seven and fifteen run, play, hike, and canoe. It's the pretty standard summer camp fair, but there is something that makes a week at Camp Hopewell different. Every child that comes to camp has been diagnosed with Type I Diabetes. Some have had it for years and consider camp their second home while some have just been diagnosed and still live in fear of their condition. For this one week, however, they all have something in common, and while they eat, sleep, and play, they learn to take care of their own Diabetes. Diabetes Camp is a 25 minute documentary film that is meant to show audiences the remarkable occurrences at Camp Hopewell through the eyes and voices of the campers and the staff that work there.
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Bu-Maryoum, Nayef Y. "Diabetes awareness among children : a comparison study of diabetes knowledge in school-age children between U.S. and Kuwait /." View online, 2006. http://repository.eiu.edu/theses/docs/32211131326320.pdf.
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Skoglund, Camilla. "Autoantibodies related to type 1 diabetes in children." Doctoral thesis, Linköpings universitet, Pediatrik, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-64593.
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Type 1 diabetes is an autoimmune disease resulting from destruction of the insulin producing beta cells in the pancreas. The patients need life-long heavy treatment and still complications, both acute and later in life, are common. The incidence of type 1 diabetes has increased rapidly during the last decades, especially among young children. The disease can be predicted by genes predisposing type 1 diabetes, mainly human leukocyte antigen (HLA) genes, together with presence of autoantibodies to beta-cell antigens, where multiple autoantibodies confer the highest risk. A number of immune system intervention trials are now ongoing aiming to halt the progression of the inflammatory process in the beta cells. This thesis aimed to investigate the prevalence and levels of autoantibodies in healthy children and in children with type 1 diabetes. Another aim was to study different properties of one of these autoantibodies, such as to which epitopes the antibodies bind and the distribution of immunoglobulin (Ig)-G subclasses, after immunomodulatory treatment in children with type 1 diabetes. We found that positivity to autoantibodies against glutamic acid decarboxylase (GADA) and tyrosine phosphatase like protein islet antigen-2 (IA-2A) was associated with HLA risk genotypes in 5-year old children from the general population. HLA risk genotypes seemed important for persistence of autoantibodies and for development of type 1 diabetes, while emergence of autoantibodies, especially transient autoantibodies, seemed to be more influenced by environmental factors. Improved methods for detection of autoantibodies are needed, for prediction of diabetes and for identification of high-risk individuals suitable for prevention treatments. Therefore, an assay for measurement of insulin autoantibodies (IAA), based on surface plasmon resonance (SPR), was developed. The main advantages of this method are that there is no need for labelling and that it is time-saving compared to the traditionally used radioimmunoassay (RIA), but further development of the method is needed. Treatment with GAD-alum (Diamyd) in children with type 1 diabetes has shown to preserve residual insulin secretion. This clinical effect was accompanied by an increase in GADA levels. We investigated the epitope reactivity of GADA in both GAD-alum and placebo treated children, and found that binding to one of the tested epitopes was temporarily increased after injection of GAD-alum. This result suggests that the quality of GADA was, to some extent, transiently affected by the treatment. On the other hand, no changes in binding to epitopes associated with stiff person syndrome (SPS) were observed, which together with the lack of change in GAD65 enzyme activity further strengthens the safety of the treatment. We also observed that the distribution of IgG subclasses was changed by GAD-alum treatment, with a lower proportion of IgG1 and higher IgG3 and IgG4. Lower IgG1 and higher IgG4 suggest a temporary switch towards a protective Th2 immune response, which has previously been observed in the same individuals for other immunological markers. In conclusion, measurement of autoantibodies related to type 1 diabetes is an important tool for studying the autoimmune process in pre-diabetic and type 1 diabetic children. In addition to the use as markers of disease progression, the autoantibodies may be used for studying the effects of immunomodulatory treatments on the humoral immune response.
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Moyer, Agnes Alwyn. "The specialist nursing care of children with diabetes." Thesis, King's College London (University of London), 1993. https://kclpure.kcl.ac.uk/portal/en/theses/the-specialist-nursing-care-of-children-with-diabetes(22929284-947a-4706-9cc2-a9128e7623d1).html.
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Northam, Emma J. K. "The epidemiology of diabetes in very young children." Thesis, University of Bristol, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.284899.
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Chiasera, Janelle Marie. "Examination of the determinants of overweight and diabetes mellitus in U.S. children." Connect to resource, 2005. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1118948445.
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Thesis (Ph.D.)--Ohio State University, 2005.Title from first page of PDF file. Document formatted into pages; contains xvi, 144 p.; also includes graphics. Includes bibliographical references (p. 130-144). Available online via OhioLINK's ETD Center
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Ismail, Ahmad Faisal Bin. "Oral health status in children with type I diabetes mellitus." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/206501.
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Diabetes mellitus is a metabolic disorder with varied etiology and diverse clinical course. World Health Organization (WHO) has distinguished three types of diabetes mellitus: insulin-dependent (Type I), non insulin-dependent (Type II) and associated with other disease and syndromes. Type I diabetes patients account for approximately 10% of all diabetics, in which children and adolescent almost exclusively develop Type I diabetes.
Diabetes can be diagnosed on the basis of symptoms, such as excessive thirst appetite, polyuria, body weight reduction, glucosuria and hyperglycaemia, confirmed by laboratory test. Acute complications may develop in the course of diabetes, usually related to extreme level of plasma glucose. Chronic complications usually developed secondary to micro-vascular changes, causing damages to small vessels, nerves, multiple organs and oral cavity.
The systematic review summarized the available evidence on the oral health of children with Type I diabetes mellitus. A total of 1179 abstract were retrieved during the initial search, and after exclusion, only 37 articles were qualified for final review and analysis. Though there was conflicting evidence regarding caries experience, it is clear that children with Type I diabetes mellitus exhibited poorer overall oral health status with higher plaque accumulation compared to healthy children.
The case-control study aimed to evaluate and compare the oral health status of children with Type I diabetes mellitus with healthy, non-diabetic controls in Hong Kong. A sample of 64 children (32 Type I diabetes mellitus, 32 age- and gender-matched controls) were included in the study. The study concluded that children with Type I diabetes had poor oral health status with greater plaque deposition when compared to healthy, non-diabetic controls.published_or_final_version
Dental Surgery
Master
Master of Dental Surgery
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Bulsara, Mahesh K. "Epidemiology of severe hypoglycaemia in children and adolescents with type 1 diabetes." Telethon Institute for Child Health Research, 2008. http://theses.library.uwa.edu.au/adt-WU2008.0226.
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[Truncated abstract] Type 1 Diabetes is emerging as a significant public health problem faced by nearly every country in the world. It has major economic and social implications with considerable burden of illness. Approximately 140,000 Australians have been diagnosed with T1DM with an annual increase in incidence rate of 3% per year, comparable to the overall global increase. The management of T1DM requires insulin therapy which places considerable burden on the patient and their carers. Coping with daily insulin injections, dietary changes, modification of physical activity and vigilant monitoring of blood glucose levels, will impact on patient?s quality of life. The optimum goal for the treatment of type 1 diabetes is to safely achieve near-normal glycaemia and failure to maintain this goal accelerates the progression of the devastating long term complications of diabetes. Unfortunately attempts to achieve near normal glycaemia are limited by the risk of excessive lowering of blood glucose levels and hypoglycaemia remains a major barrier to strict glucose control of diabetes. In general this thesis focuses on two fundamental issues related to the epidemiology of severe hypoglycaemia. Namely, methodological consideration when analysing prospective observational data and application of the most robust methodology. A prospective open cohort study of the Princess Margaret Hospital diabetes clinic established in 1992, with 99% case ascertainment was used. This hospital is the only paediatric referral centre for type 1 diabetes and every child diagnosed in the state of Western Australia is treated at this centre. ... The results of this study showed that severe hypoglycaemia remains a major problem and recent approaches to therapy may be allowing a degree of improved control without the expected increased risk of severe hypoglycaemia. The study in chapter 7 investigates genetic risk factors related to severe hypoglycaemia. A significant relationship where the presence of the iv deletion (D) allele of the angiotensin-converting enzyme (ACE) increases risk of severe hypoglycaemia has been reported. This study concludes that the presence of D allele of the ACE gene does not predict a significantly higher risk of severe hypoglycaemia. In an attempt to optimize glycemic control, patients may suffer multiple episodes of severe hypoglycaemia which can adversely affect quality of life as well as educational and intellectual disadvantage. The study in chapter 8 investigates the factors related to recurrent severe hypoglycaemia. A rigorous and informative time-to-event approach is used to account for within child correlation, staggered enrolment and timevarying covariates. This allows important risk factors to change over time. Preschool children have an increased risk of experiencing recurrent severe hypoglycaemia. The findings of this thesis highlights the importance of selecting appropriate analytical methodology to identify risk factors associated with severe hypoglycaemia and also to dismiss factors that had previously been thought to be important. This will help in formulating management plans in order to limit the impact of severe hypoglycaemia.
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Fontaine, Eve Nicole. "The relation between family functioning and psychological adjustment in children with asthma and children with diabetes." Texas A&M University, 2005. http://hdl.handle.net/1969.1/4723.
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The goals of this study were to evaluate the relationships among family
functioning, psychological adjustment, and health-related quality of life in children with
asthma and children with diabetes. A secondary goal of this study was to examine the
relations between illness severity, psychological adjustment, and health-related quality
of life in the children with asthma. Participants included 41 children with asthma and
109 children with diabetes, and one primary caregiver of each child. Questionnaires
were given to children to assess their levels of anxiety, depression, and health-related
quality of life. Questionnaires pertaining to parenting stress, family functioning, and
psychological adjustment also were completed by the participating primary caregiver.
Results suggested these two groups of children do not differ in their psychological
adjustment, family functioning, or health-related quality of life. Normal levels of anxiety
and depression were reported, which both supports and contradicts current research in
this area. Additionally, parenting stress mediated the relationship between family
cohesion and parent-reported depression in children with diabetes; however, this result
was not obtained in the children with asthma. In children with diabetes, significant
relationships were found between self-reported anxiety and parenting stress and between parent-reported anxiety and health-related quality of life. Additionally, parent-reported
depression was significantly related to parenting stress, health-related quality of life, and
family cohesion. Self-reported depression was significantly predicted by health-related
quality of life. In children with asthma, health-related quality of life significantly
predicted self-reported anxiety and parenting stress was significantly related to parentreported
depression. Illness severity did not predict psychological adjustment or healthrelated
quality of life in children with asthma.
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Matyka, Krystyna Anna. "Nocturnal hypoglycaemia in prepubertal children with Type 1 Diabetes Mellitus." Thesis, King's College London (University of London), 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.395474.
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Chamberlain, Alyce Lorene 1961. "DIET THERAPIES, CONTROL AND HEALTH BELIEFS OF CHILDREN WITH INSULIN-DEPENDENT DIABETES, 10-13 YEARS OLD (HLC)." Thesis, The University of Arizona, 1986. http://hdl.handle.net/10150/275571.
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Robertson, Lynn M. "Maternal and neonatal risk factors for childhood type 1 diabetes a pilot matched case-control study /." Available from the University of Aberdeen Library and Historic Collections Digital Resources, 2009. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?application=DIGITOOL-3&owner=resourcediscovery&custom_att_2=simple_viewer&pid=26211.
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Vincent, Dawn A. "Acceptance of complementary and alternative medicine among pediatric patients with diabetes." Virtual Press, 2007. http://liblink.bsu.edu/uhtbin/catkey/1366504.
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The purpose of this research study was to determine the acceptability of complementary and alternative medicine use in a pediatric population with diabetes. Subjects included 76 patients who attend or have previously attended a diabetes clinic at Riley Hospital for Children in Indianapolis, Indiana.Once patient and parent approval had been granted, the researcher conducted a telephone interview to gather information. Using SPSS statistical software, frequencies and Chi-squared analysis were performed on the data collected. It was revealed that although subjects had a wide variety of concerns with the use of CAM and were unsure about whether it "could heal diabetes or other health problems," a majority were willing to try CAM. Results also indicated that willingness to try CAM was not affected by the age of the child, the type of diabetes present, use of insulin or special diet, or current use of a vitamin or supplement.Department of Family and Consumer Sciences
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Nordfeldt, Sam. "On Severe Hypoglycaemia in Children and Adolescents with Type 1 Diabetes." Doctoral thesis, Linköping : Univ, 2000. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-5018.
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Шандиба, Ірина Олександрівна, Ирина Александровна Шандыба, Iryna Olexandrivna Shandyba, Андрій Миколайович Лобода, Андрей Николаевич Лобода, and Andrii Mykolaiovych Loboda. "Early diagnosis of diabetic nephropathy in children with type 1 diabetes mellitus using the VCAM-1 biomarker." Thesis, Lithuanian University of Health Sciences, 2020. https://essuir.sumdu.edu.ua/handle/123456789/78327.
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Васкулярна молекула клітинної адгезії-1 (VCAM-1) - це 90 кДа глікопротеїн, який експресується в ендотеліальних клітинах і бере участь в міграції і рекрутуванні запальних клітин. Недавні дослідження показали, що рівні VCAM-1 в сечі були значно підвищені у пацієнтів із захворюванням нирок. Метою цього дослідження було вивчення особливостей рівнів VCAM-1 в сечі дітей залежно від тривалості діабету. У дослідження були включені 47 дітей з діабетом 1-го типу і 8 дітей без діабету. VCAM-1 в сечі збільшився на 24 відсотки у дітей з тривалістю діабету менше одного року в порівнянні з контрольною групою. Рівні VCAM-1 були підвищені на 33 відсотки у дітей з тривалістю діабету від одного до п'яти років. Цей показник збільшився на 54 відсотки у дітей, які жили з діабетом більше п'яти років. Висновки. Збільшення рівня VCAM-1 в сечі спостерігалося вже в перший рік маніфестації діабету у дітей. Вимірювання рівня VCAM-1 в сечі може бути корисним для ранньої діагностики діабетичної нефропатії.Васкулярная молекула клеточной адгезии-1 (VCAM-1) - это 90 кДа гликопротеин, который экспрессируется в эндотелиальных клетках и участвует в миграции и рекрутировании воспалительных клеток. Недавние исследования показали, что уровни VCAM-1 в моче были значительно повышены у пациентов с заболеванием почек. Целью настоящего исследования было изучение особенностей уровней VCAM-1 в моче детей в зависимости от продолжительности диабета. В исследование были включены 47 детей с диабетом 1-го типа и 8 детей без диабета. VCAM-1 в моче увеличился на 24 процента у детей с продолжительностью диабета менее одного года по сравнению с контрольной группой. Уровни VCAM-1 были повышены на 33 процента у детей с продолжительностью диабета от одного до пяти лет. Этот показатель увеличился на 54 процента у детей, которые жили с диабетом более пяти лет. Выводы. Увеличение уровня VCAM-1 в моче наблюдалось уже в первый год манифестации диабета у детей. Измерение уровня VCAM-1 в моче может быть полезно для ранней диагностики диабетической нефропатии.
Vascular cell adhesion molecule-1 (VCAM-1) – is a 90-kDa glycoprotein that is expressed in endothelial cells and is involved in the migration and recruitment of inflammatory cells. Recent studies have shown that urinary VCAM-1 levels were significantly increased in patients with kidney disease. The aim of the current study was to investigate the features VCAM-1 levels in urine of children depending on the diabetes duration. Study included 47 children with 1 type diabetes mellitus and 8 children without diabetes. VCAM-1 in urine increased by 24 percent in children with the duration of diabetes below one year compared to the control group. VCAM-1 levels were elevated by 33 percent in children with the duration of diabetes from one to five years. The marker increased by 54 percent in children who lived with diabetes for more than five years. Conclusions. Increase in urinary VCAM-1 was observed in the first year of diabetes in children. Measuring the level of VCAM-1 in urine may be useful for the early diagnosis of diabetic nephropathy.
Thanks for the research group of Thomas Boren (Department of Medical Biochemistry and Biophysics/MIMS, Umea University) for the opportunity to conduct research in framework of collaboration in Erasmus+ (KA1) programme, 2018/2019. The authors declare absence of potential conflicts of interest.
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Olsson, Monica, and Susanne Herold. "Prevention of diabetes type 2 among children and adolecents : Literature rewiew." Thesis, Kristianstad University College, Department of Health Sciences, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-4398.
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The objective of this literature study was to describe the nurse’s preventive actions to prevent diabetes type 2 among children and adolescents in school age. It emerged from the analysis that the nurse is working according to three pillars; screening, lifestyle changes and counselling/education. This result showed that what often increase difficulties when working with screening are: undefined guidelines, lack of time and resources. Overweight/obesity is one of many indicators to develop diabetes type 2, therefore it is important that both BMI and waist are measured. The nurse was working actively with education and intervention, for example engaging schools to make diet changes and increase physical activity. She/he was also giving counselling to children, adolescents and their families about the disease diabetes type 2 and how it could be prevented. Barriers often experienced by the nurse in her/his preventive work were the families’ attitudes and lifestyles. There were often an expressed wish from nurses to receive guidance in their work on motivating to lifestyle changes.
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Huus, Karina. "Weight gain in children : possible relation to the development of diabetes." Doctoral thesis, Linköpings universitet, Hälsouniversitetet, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-16608.
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Background: The prevalence of overweight and obesity among children has increased the last decades and is now defined as a global epidemic disease by the World Health Organization. Also the incidence of type 1 diabetes has increased and there are some hypothesises that argue there is a connection between overweight/obesity and type 1 diabetes. Aim: The general aim of this thesis was to study factors contributing to the development of overweight and obesity among children and to study possible relations to the development of diabetes. Method: All Babies in Southeast Sweden, ABIS, is a prospective cohort study. The study includes all babies who were born in southeast Sweden between Oct 1st 1997 until Oct1st 1999 and the design was to follow them up to school age in ABIS I and to follow them until 14 years in ABIS II, of the eligible 74 % entered the study. The families have answered questionnaires and biological samples were taken mainly from the children at the different time points: birth, 1 year, 2.5 years, 5 years and 8-9 years. In this thesis studies have been made including the whole cohort, but some studies have also been made involving only a part of the children. Results: The prevalence of overweight and obesity among children in the ABIS study was 12.9% overweight and 2.5 % obese at 5 years of age. One risk factor which appeared to have a great impact on the development of overweight and obesity at 5 years of age was the child’s own BMI at an early age and also the heredity for overweight/ obesity and the heredity for type 2 diabetes. If the father had a university degree, the child was less likely to be obese at 5 years of age. Other factors, such as the parents´ age, if the child had any siblings, and if the child lived with a single parent, did not show any significant correlation to the child’s BMI at 5 years of age. Early nutrition has been studied and no correlation could be found between breastfeeding less than 4 months and the development of overweight/obesity at 5 years of age. The parents answered questions about how frequent the child ate different food at 2.5 years and at 5 years. Intake of sweet lemonade was the only single food which was correlated to a higher BMI in 5 years old children. Porridge seemed to be protective against overweight/ obesity. In one of the studies the physical activity was measured by a step counter. The fewer steps the children were taking, the higher BMI and waist circumference they had. Low physical activity was also associated with a higher C-peptide value and decreased insulin sensitivity. Children who spent more time in front of TV/video had a higher fasting blood glucose value. Conclusions: A strong factor for the development of overweight and obesity among children is the child’s own BMI at an early age and also its heredity for overweight/ obesity and the heredity for type 2 diabetes. Early nutrition did not show any obvious correlations with overweight and obesity at 5 year old children. Low physical activity was associated with higher fasting C-peptide value and decreased insulin sensitivity. Low physical activity may cause β-cell stress which might contribute to an autoimmune process in individuals genetically predisposed to autoimmunity and, thereby, to the increasing incidence of Type 1 diabetes in children.Bakgrund: Förekomsten av övervikt och fetma bland barn har ökat under de senaste decennierna och klassas av Världshälsoorganisationen (WHO) som en global epidemi. Antalet barn som insjuknar i typ 1 diabetes har också ökat och det finns en del hypoteser som argumenterar för att det finns en koppling mellan övervikt/fetma och typ 1 diabetes. Syfte: Den här avhandlingens syfte var att studera faktorer som bidrar till utvecklingen av övervikt och fetma hos barn och att studera om det möjligen finns en relation till utvecklingen av typ 1 diabetes. Metod: Alla Barn I Sydöstra Sverige, ABIS, är en prospektiv kohort studie. Alla barn, som föddes mellan 1:a oktober 1997 till 1:a oktober 1999 i sydöstra Sverige, erbjöds delta. Barnen följdes sedan upp till skolåldern i ABIS I och till 14 års ålder i ABIS II. Från starten valde 74% av de tillfrågade familjerna att gå med i studien. Familjerna har besvarat frågeformulär, och biologiska prover är tagna huvudsakligen från barnen vid de olika åldrarna: födseln, 1 år, 2.5 år, 5 år och 8-9år. I avhandlingen ingår dels studier med hela ABIS kohorten, men i två av studierna deltar endast en del av barnen. Resultat: Hos de barn som igår i ABIS studien var 12,9% överviktiga vid 5 års ålder och 2,5% var feta. En faktor som visade sig ha betydelse för utvecklingen av övervikt och fetma hos 5 år gamla barn var barnets eget BMI vid tidig ålder samt hereditet för övervikt/fetma och hereditet för typ 2 diabetes. Om föräldrarna, framförallt pappan, läst på högskola eller universitet var barnen mindre ofta överviktiga/feta. Andra faktorer som föräldrarnas ålder, om barnet hade några syskon och om barnet levde med en ensamstående förälder visade sig inte ha betydelse för utvecklingen av övervikt och fetma hos barnen. Tidig uppfödning har också studerats. Vi fann ingen korrelation mellan kort amning, dvs. mindre än 4 månader, och utvecklingen av övervikt/ fetma hos 5 år gamla barn. Föräldrarna har också fått svara på hur frekvent barnet åt olika livsmedel vid 2.5 år och vid 5 år. Saft var det enda livsmedel som enskilt hade ett samband med utveckling av övervikt och fetma vid 5 år. Gröt föreföll ha en skyddande effekt. I en delstudie har fysisk aktivitet mätts med stegräknare. Ju färre steg ett barn tog, desto större risk förelåg för övervikt och fetma. Låg fysisk aktivitet var också associerad till ett högre C-peptidvärde och minskad insulinkänslighet. Barn som tittar mycket på TV/video hade ett högre fasteblodsocker. Konklusion: Av betydelse för utveckling av övervikt och fetma hos barn är barnets eget BMI i tidig ålder och dess hereditet för övervikt och fetma samt hereditet för typ 2 diabetes. Tidig nutrition verkar inte ha några uppenbara samband med övervikt och fetma hos 5 år gamla barn. Låg fysisk aktivitet var associerad till högt faste C-peptid och ökad insulinresistens, vilket skulle kunna stressa β-cellerna och därmed, i enlighet med β- cell stress hypotesen, kunna bidra till en ökad förekomst av typ 1 diabetes hos barn.
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Wahlberg, Jeanette. "Environmental determinants associated with Type 1 diabetes-related autoantibodies in children /." Linköping : Linköpings universitet, 2005. http://www.bibl.liu.se/liupubl/disp/disp2005/med922s.pdf.
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Alexander, Julie. "Creation of support group and educational materials for children with diabetes." Virtual Press, 1988. http://liblink.bsu.edu/uhtbin/catkey/544221.
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Problem--The development of diabetes produces a state of shock for the child and his or her family. The single most important factor in coping with both the physical and emotional impact of diabetes is education. Only when there is a clear understanding on the part of the child and the family of what diabetes is, how it can be managed, how to prevent emergencies, and how to cope with complications should they arise, will these feelings begin to be resolved.There are very limited educational materials available to help the pre-school to elementary age children with diabetes understand their disease.Main Procedure--A support group for families who have children with diabetes was developed. The objectives were formulated in relationship to the needs of the support group. The following materials were created to help the children understand about their disease:1. A flannelboard explanation of diabetes was used to help the children understand diabetes.2. A green puppet to sing and talk to the children about the problems of being different and how to say no without calling attention to oneself was created.3. A homemade robot was made that could turn a negative message into a positive one. A discussion of what's good about today and the importance of having a positive attitude followed.4. A game called Diabetes Challenge was created. The game called for the recognition of foods and their exchange areas and also asked challenging questions about diabetes.5. Containers from three fast-food restaurants were used with food exchanges marked on them so children could select wisest choices for their meal plan.6. Marionettes and stick puppets were created to perform the puppet show "The Boy Who Cried Wolf" and then the sequel "The Girl 'Who Cried Reaction". The sequel was written by the researcher in an attempt to illustrate the importance of being believed.7. A school booklet was developed for families to inform their schools about diabetes.8. A video tape was created to be used by parents to inform their school about diabetes.Understanding diabetes and learning to care for it well is an ongoing task. Diabetes in a child is a way of life. It involves the whole family and all those outside the family that are caring for the child.It is the writer's hope that this project will be utilized as a resource for presenting important information to children who have diabetes. These materials are available upon request by contacting Julie Alexander, R.R. 1 Box 29, Eaton, IN 47338, Phone:(317) 396-9222.Department of Elementary Education
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Lang, James David St John. "The self-management of the diabetes regimen by children and adolescents." Thesis, University of Exeter, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.333545.
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Clarke, Caroline Frances. "Autonomic neuropathy in children and adolescents with type 1 diabetes mellitus." Thesis, University of Southampton, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.359223.
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Oldfield, Sandra J. "Adjustment of parents of children with asthma or type 1 diabetes." Thesis, Oxford Brookes University, 2010. http://radar.brookes.ac.uk/radar/items/79995b2f-d9d7-c15f-e82f-53f4e5e392fc/1.
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Adjustment of parents of children with a chronic illness is an under-researched area, particularly using qualitative methodology. This is the case in relation to all chronic childhood illnesses, including asthma and Type 1 diabetes. These two illnesses are both increasing in prevalence and are highly relevant exemplars of illnesses that have a significant daily impact on the lives of children, parents and families. A mixed categorical / non-categorical approach was taken in this study, which has the advantage of highlighting both illness-specific and general features of parents’ experience of the child’s illness. Understanding these similarities and differences will help clinicians to focus parent and family support appropriately and also will help stimulate and inform future research efforts. Two further issues that influenced the aims of this study are the lack of theoretical coherence and poor clarity with regard to the meaning of parental adjustment and factors that influence it. The aim of this qualitative study was to investigate the adjustment of parents of children with asthma or Type 1 diabetes, and through this, to develop new theory about parents’ adjustment. This theory was intended to help explain the parents’ experience of adjustment and identify factors relevant to their adjustment outcomes. A grounded theory approach was used, set within a constructivist paradigm. The purposive sample included 32 mothers, 7 fathers and one grandmother of a child with asthma or Type 1 diabetes. Findings from observations of three multi-disciplinary team meetings following clinics and interviews with three specialist nurses and a support group leader contributed to refinements made to the parent semi-structured interview schedule. In-depth semi-structured interviews were used to investigate respondents’ perspectives in relation to their experience of the child’s illness and illness episodes, and the effects on their own and family life. Data were analysed using thematic analysis, guided by principles of grounded theory such as constant comparison. NVivo qualitative data analysis software was used to assist in the data analysis process. A new theory was developed, which incorporates a dynamic model, reflecting how parents experience adjustment in the face of new events over the course of time, in many facets of their personal life, as a parent, and in family life. The four steps of goals, events, processes and outcomes reflect findings that arose during the empirical analysis, which was organised around four major dimensions of the parents’ experiences. The theoretical model developed in this study is a useful framework for future research and clinical practice, offering a coherent framework for a field of research that is very disparate in objectives and theoretical orientation. Clinicians may use the model as a basis of exploring parents’ adjustment, not only in relation to illness-specific issues, but also in relation to supporting the development and use of coping resources and assessing whether the parents’ goals are being met in other aspects of their lives. It is a model that can be used by the multi-professional health and social care team, which could be beneficial for integrated care of the child and family.
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Graveling, Alex James. "Hypoglycaemia in children and adults with type 1 diabetes : clinical implications." Thesis, University of Edinburgh, 2015. http://hdl.handle.net/1842/19516.
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The proposed thesis will examine three areas of research: (1) the effects of hypoglycaemia on cognitive function in adults with and without T1DM, (2) the symptoms and awareness of hypoglycaemia in children and adolescents with T1DM and (3) hypoglycaemia and driving in people with insulin-treated diabetes: self-treatment and adherence to recommendations for avoidance. (1) Executive cognitive function governs organisation of thoughts, prioritisation of tasks, and time management. This study examined the effect of acute hypoglycaemia on executive function in adults with and without diabetes. Thirty-two adults with and without type 1 diabetes were studied. Two hyperinsulinaemic glucose clamps were performed at least 2 weeks apart in a single-blind, counterbalanced order. Executive functions were assessed with a validated test suite (Delis-Kaplan Executive Function). A general linear model (repeated-measures ANOVA) was used. Compared with euglycaemia, executive functions (with one exception) were significantly impaired during hypoglycaemia; lower test scores were recorded with more time required for completion. Large Cohen d values (>0.8) suggest that hypoglycaemia induces decrements in aspects of executive function with large effect sizes. In some tests, the performance of participants with diabetes was more impaired than those without diabetes. Executive cognitive function, which is necessary to carry out many everyday activities, is impaired during hypoglycaemia in adults with and without type 1 diabetes. (2) In children with type 1 diabetes mellitus (T1DM) the prevalence of impaired awareness of hypoglycaemia (IAH) is uncertain. Questionnaires were completed by 98 children with T1DM (mean age 10.6 years) and their parent(s); hospital admission data for the previous year were collected. Awareness of hypoglycaemia was assessed using two questionnaire-based methods that have been validated in adults. For 4 weeks, participants performed routine blood glucose measurements and completed questionnaires after each episode of hypoglycaemia. The ‘Gold’ questionnaire classified a greater proportion of the participants as having IAH than the ‘Clarke’ questionnaire (68.4 vs. 22.4%). Using the ‘Clarke’ method, but not the ‘Gold’ method, children with IAH were younger and more likely to require external assistance or hospital admission. In contrast to adults, behavioural symptoms were the best predictors of awareness status. IAH affects a substantial minority of children and impending hypoglycaemia may be heralded by behavioural symptoms. The ‘Clarke’ method was more effective at identifying those at increased risk. (3) A clinical survey of an outpatient clinic population to ascertain current knowledge and practice among drivers with insulin-treated diabetes. A representative sample of 202 current drivers with insulin-treated diabetes completed a structured questionnaire. A minimum blood glucose level of 4.0 mmol/L or higher was considered necessary for driving by 74.8%, and 87.1% reported always keeping carbohydrate in their vehicle. However, 38.1% reported never carrying a glucose meter when driving, and 59.9% that they never test blood glucose before driving, or test only if symptomatic of hypoglycaemia. Most participants 89% would stop driving to treat hypoglycaemia although only 13.9% would wait longer than 30 min. Compliance with statutory requirements to inform the licensing authority and motor insurer is good.
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Al-Alvani, R. M. "Correction of zinc deficiency in children with type 1 diabetes mellitus." Thesis, Видавництво СумДУ, 2012. http://essuir.sumdu.edu.ua/handle/123456789/27498.
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Scientific supervisor: N.V. GluschenkoThe most important in the pathogenesis of diabetes mellitus type 1 (DM-1) among trace elements has zinc (Zn). With the participation of Zn ions is an allocation of insulin from β-cells of Langerhans islands, the inclusion of insulin to transport complex, inhibition of insulinazy. Therefore, zinc deficiency can be considered as one of the factors of development and labile course of DM-1 in children. When you are citing the document, use the following link http://essuir.sumdu.edu.ua/handle/123456789/27498
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Elhisadi, Tawfeg A. A. "Nutrition, lifestyle and diabetes-risk of school children in Derna, Libya." Giessen VVB Laufersweiler, 2009. http://geb.uni-giessen.de/geb/volltexte/2010/7363/index.html.
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Erickson, Kerri Louise. "Raising Children with Type 1 Diabetes and Celiac Disease: Parental Experiences." BYU ScholarsArchive, 2013. https://scholarsarchive.byu.edu/etd/3717.
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The purpose of this qualitative descriptive study was to examine parental experiences and challenges raising children with both T1DM and CD. Twenty-six families, including 30 parents (25 mothers, 4 fathers, and one custodial grandmother), participated in a 30-60 minute audio-recorded interview designed to explore parental experiences raising children with both T1DM and CD. Participants were asked IRB approved open-ended questions about their experiences raising a child with both diseases. Direct quotations best representing categories/sub-categories were identified through selective coding. Analysis revealed seven main themes: Six themes parents are concerned about, including (a) their child's health complications, b) the challenges of daily disease management, c) the time, resources, and expense required to manage both diseases, d) their child's emotional/mental health, e) support from healthcare providers, f) community support/understanding, and lastly (observed by the researcher) g) how positive versus negative experiences and adaptation influence the way parents and children meet their challenges and perceive the future. Parents raising children with both T1DM and CD face many daily challenges as they learn to manage both lifelong chronic diseases. They need access to and support from healthcare providers for up-to-date education, treatment options, and community resources. Positive provider relationships were identified as: being responsive to parent's questions, willing to listen to parents, creating an open and honest dialogue with parents, having a personal relationship with the child, and being a patient advocate. Future research should examine broader ethnic and socioeconomic populations. A quantitative study design could also be used to assess the level of caregiver burden, in order to compare different ethnic and socioeconomic groups.
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Williams, C. L. (Catherine L. ). "The role of developmental challenges of adolescence in predicting treatment adherence and glycaemic control in children with insulin dependent diabetes mellitus." Thesis, The University of Sydney, 2004. https://hdl.handle.net/2123/27922.
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There has been a significant amount of research investigating potential reasons for the
high rates of non-adherence and poor metabolic control amongst adolescence with insulin
dependent diabetes. Adolescence is a period where young people face a range of
developmental challenges, such as individuating from their family, conforming to their
peer group and dealing with their emerging sexuality and body image. While the
relevance of these has been discussed, to date, there has been limited empirical
investigation in diabetes of their impact on adolescents’ management and adjustment to
type 1 diabetes.
The major aims of this study were to examine the relationship between some of the major
developmental challenges of adolescence, adherence and psychopathology among a
group of adolescence with Type 1 Diabetes. Sixty-two adolescents with Type 1 diabetes
completed a series of questionnaires assessing eating attitudes, family support and fear of
negative evaluation, as well as their beliefs about diabetes and measures of anxiety and
depression. In addition, participants were asked to keep a diary of blood sugar level
readings and their responses to these over seven consecutive days. Glycaemic control was
assessed using HbA1c levels at baseline and three months later.
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Hekkala, A. (Anne). "Ketoacidosis at diagnosis of type 1 diabetes in children under 15 years of age." Doctoral thesis, Oulun yliopisto, 2016. http://urn.fi/urn:isbn:9789526212579.
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Abstract The aim of this work was to evaluate the frequency of diabetic ketoacidosis (DKA) in children <15 years of age at the time of diagnosis of type 1 diabetes (T1D) at Oulu University Hospital over a period of 33 years (1982−2014) and throughout Finland in 2002−2005. The aim was to assess the effect of certain host characteristics (age at diagnosis, family history of T1D, T1D-associated HLA risk genotypes and participation in T1D prediction and prevention trials) on the frequency on DKA. A further aim was to assess temporal changes in the frequency of DKA. The overall frequency of diabetic ketoacidosis at the diagnosis of T1D in children <15 years was low both at Oulu University Hospital and over the whole country. A decrease in the frequency of DKA was observed at the university hospital during the years 1982−2001, but it then seemed to stabilize at just under 20.0%. The frequency in the whole of Finland during the period 2002−2005 was similar, i.e. 19.4%. The frequency of DKA at diagnosis in very young children (<2 years of age) at Oulu University Hospital decreased markedly during the period in question, being 50.0% in 1982−1991, 39.1% in 1992−2001 and 17.1% in 2002−2014 (p=0.021), and a similar decrease was seen in children <5 years (32.1% in 1982−1991, 17.7% in 1992−2001 and 13.0% in 2002−2014, p=0.007). The children aged 10−14.9 years at diagnosis, however, had an increased risk of DKA over the whole period studied here, and more attention should definitely be paid to this group in the future to reduce its DKA frequency. In the analysis of the data based on all children in Finland diagnosed with T1D in 2002−2005 the risk of DKA at diagnosis was lower in those with a first-degree relative affected by T1D. The children carrying a higher HLA-conferred risk of T1D had DKA less frequently at the manifestation of the disease. Prospective studies based on screening for HLA-DQB1-associated genetic susceptibility to T1D from cord blood and subsequent regular clinical, immunological and metabolic follow-up have been going on in Oulu University Hospital since 1995, and the children taking part have been found to have a reduced frequency of DKA (5%) at diagnosis. Genetic screening without follow-up did not prevent DKA at disease presentationTiivistelmä Väitöstyön tarkoituksena oli tutkia diabeettisen ketoasidoosin (DKA) esiintymistä alle 15–vuotiailla lapsilla tyypin 1 diabeteksen toteamisvaiheessa Oulun yliopistollisessa sairaalassa vuosina 1982–2014 ja koko Suomessa vuosina 2002–2005. Tavoitteena oli selvittää tiettyjen lapsen erityispiirteiden (ikä diagnoosihetkellä, perheen diabeteshistoria, diabetekseen liittyvien HLA riskigenotyyppien esiintyminen ja osallistuminen prospektiivisiin tyypin 1 diabeteksen seurantatutkimuksiin) vaikutusta ketoasidoosin esiintymiseen. Lisäksi tärkeänä tavoitteena oli tutkia mahdollisia ajallisia muutoksia ketoasidoosin esiintymisessä. Kaikkiaan ketoasidoosin esiintyminen oli matala alle 15–vuotiailla lapsilla tyypin 1 diabeteksen diagnoosihetkellä Oulun yliopistollisessa sairaalassa tutkimusjakson aikana. Ketoasidoosin esiintymisessä nähtiin vähenemistä kahden ensimmäisen 10–vuotisjakson aikana (1982–1991 ja 1992–2001), minkä jälkeen sen esiintyminen vakiintui alle 20 %:n tasolle. Koko Suomessa ketoasidoosin kokonaisesiintyvyys vuosina 2002–2005 oli 19,4 % mikä vastasi Oulun yliopistollisessa sairaalassa havaittua esiintyvyyttä. Pienillä, alle 2–vuotiailla lapsilla ketoasidoosin esiintyminen diabeteksen toteamisvaiheessa väheni huomattavasti tutkimusjakson aikana Oulun yliopistollisessa sairaalassa ollen 50,0 % 1982–2001, 39,1 % 1992–2001 ja 17,1 % 2002–2014 (p=0,021). Samanlainen laskeva suunta havaittiin tuona ajanjaksona myös alle 5–vuotiailla lapsilla (32,1 % 1982–1991, 17,7 % 1992–2001 ja 13,0 % 2002–2014, p=0,007). Sen sijaan ketoasidoosiriski pysyi huomattavan korkeana yli 10–vuotiailla lapsilla koko tutkimusjakson ajan. Tulevaisuudessa on tärkeä kiinnittää erityishuomio tähän ikäluokkaan ketoasidoosin vähentämiseksi. Analysoitaessa kaikkia Suomessa 2002–2005 tyypin 1 diabetekseen sairastuneita lapsia, havaittiin lapsilla, joilla oli ensimmäisen asteen tyypin 1 diabetesta sairastava sukulainen (vanhemmat, sisarukset), ketoasidoosiriski matalammaksi. Lisäksi niillä lapsilla, joilla oli korkeaan sairastumisriskiin liittyvä HLA–genotyyppi, oli ketoasidoosin esiintyminen vähäisempää tyypin 1 diabeteksen diagnoosihetkellä. Prospektiivinen tyypin 1 diabeteksen kehittymistä selvittävä seurantatutkimus aloitettiin Oulussa 1995. Tutkimuksessa lapsen napaverinäytteestä analysoidaan perinnöllinen diabetesalttius ja riskiryhmiä seurataan säännöllisesti. Seurantatutkimukseen osallistuneiden lasten ketoasidoosiriski diabeteksen diagnoosihetkellä oli vähentynyt taudin toteamishetkellä (5,0 %). Pelkkä geneettiseen seulontatutkimukseen osallistuminen ei kuitenkaan suojannut lasta ketoasidoosilta
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Martinez-Culpepper, Rosaline Jane. "School Nurses' Role in the Management of Children with Type 2 Diabetes." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3801.
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An estimated 215,000 children and adolescents younger than 20 years old were diagnosed with Type 1 or Type 2 diabetes in 2011. Management of children with Type 2 diabetes requires 24-hour care provided by health care providers, parents, and school nurses. Guided by the health belief model (HBM), the purpose of this qualitative case study was to explore and describe beliefs, attitudes, and practices of school nurses who manage children with Type 2 diabetes. A pilot study with 2 nurses was conducted to finalize interview guide. Volunteer school nurses were recruited through an e-mail announcement from their school district. Face-to-face, in-depth interviews with 10 female school nurses were conducted. School nurse work experience ranged from 4 to 20 years, selected from 4 school districts, including 8 European, 1 Asian, and 1 Hispanic American. Transcripts from digitally recorded interviews were analyzed using NVivo software version 11. Thematic analysis led to 5 themes of communication, education, management, perceived barriers (multiple schools assigned/student demand), and enablers (school aides). Individually and collectively, themes reflect a synergistic positive attitude in management of children with Type 2 diabetes. HBM constructs elucidated school nurses' behaviors and attitudes regarding severity and susceptibility to illness, benefits students received from preventive care, and barriers they encountered. The positive implications for social change include recommendations for increasing the number of school nurses per district to meet the demand in managing children with chronic diseases, and intensification of positive attitude interventions in diabetes management.
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Ismail, Rokiah. "The development and evaluation of a web-based diet and diabetes education programme for children with type 1 diabetes." Thesis, University of Newcastle upon Tyne, 2015. http://hdl.handle.net/10443/2928.
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Diabetes education is one of the essential components of standard diabetes care. Rapid advances in technology have made the internet a viable mode for the delivery of educational interventions to young people with type 1 diabetes (T1D). The main purpose of this study was to develop a web-based education programme to assist in diabetes management and to provide support for children with T1D in Malaysia. The data were collected in three phases using a mix method approach. Participants were children with T1D living in Malaysia (n=64), their parents (n=12), the clinicians (n=3) and Malaysian‟ children living in Newcastle (n=12). In Phase one, the data were collected using both qualitative and quantitative methods to understand the experiences and challenges which children face living with diabetes and to identify regularly consumed carbohydrate-rich foods. In Phase two, data were gathered by a semi-structured interview and an open-ended questionnaire with healthy children in Newcastle to elicit views and general usability of the programme. In the final Phase, Phase three, children with T1D and their families were recruited and introduced to the programme and guided in its use at home. Semi-structured interviews were conducted with children, parents and clinicians, and the questionnaires were used with children in order to gain participants‟ views, experiences and acceptance of the system. Children used the programme for a period of six months. Most children reported using the programme to obtain information about carbohydrate content of the food and drink they consumed and adjusting their insulin accordingly. They also reported they had made changes in their food choices based on the information and knowledge they obtained from the programme. Most of them did not record their blood glucose regularly in the programme. The majority felt confident in managing their diet, insulin, and monitoring their blood glucose, however, a few reported lack of confidence and difficulty managing their diabetes. Clinicians indicated that the programme was feasible to use in the clinic setting to teach and review children‟ blood glucose and dietary intake, and to support children when they faced any problems related to their diabetes. The clinicians believed that the programme had the most application for children as a self-education and self-management system. Overall, participants described the programme as useful, accessible and beneficial for managing diet and diabetes. This study demonstrated feasibility of using the web-based education programme. Further research is required to determine the effectiveness of the programme in improving diabetes management of T1D by young people.
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Matsuoka, Karen Yoshiko. "Diabetes care in the US : does the type of health plan diabetic children have affect their health outcomes?" Thesis, University of Oxford, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.433343.
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Elleri, Daniela. "Closed-loop insulin delivery in children and adolescents with type 1 diabetes." Thesis, University of Cambridge, 2014. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.648562.
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Koegelenberg, Guzelle Joanita. "Resilience characteristics of families with a child with type 1 diabetes." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/85800.
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Thesis (MA)-- Stellenbosch University, 2013.ENGLISH ABSTRACT: A chronic illness such as type 1 diabetes does not only have an impact on the individual’s physical and psychological well-being, but ultimately on the well-being of the family as a whole. The family typically fulfils the role of primary support structure for the diabetic child. Regardless of the physical and psychological challenges that form part of the illness, a large number of families are resilient. Families are able to adjust, adapt and cope adequately with a variety of life stressors. Consequently, this study aimed to identify and explore family resilience characteristics that are associated with family adaptation after the diagnosis of a chronic illness in a child. The Resiliency Model of Family Stress, Adjustment and Adaptation (McCubbin & McCubbin, 2001) served as theoretical framework for this study. Fifty-one primary caregivers represented families with a child with type 1 diabetes who was a patient at a big state hospital in the Western Cape, South Africa. The study used a mixed methods approach and it was expected from the participants to answer an open-ended question and complete four self-complete questionnaires. The dependent variable in the study is family adaptation, measured with the Family Attachment and Changeability Index 8 (FACI8) (McCubbin & McCubbin, 2001). Based on the theory and previous studies, the following independent variables were used as measures: family hardiness (The Family Hardiness Index (FHI)), family patterns of communication (Family Problem Solving and Communication Scale (FPSC)) and family time spent together, as well as routines followed together (Family Time and Routine Index (FTRI)). The results show that family resilience characteristics that are significantly correlated with family adaptation are affirming communication in the family; the family’s willingness to accept change as positive; and family time spent together and routines followed in the family. The most important resilience characteristic according to the qualitative data is the support and information received from the paediatric diabetes specialist at the hospital. The family’s religious beliefs, and support received from their church, also play a significant role in their adaptation. This study contributes to the increasing need for and value of positive psychology. The study also creates an opportunity to educate families and medical personnel on the importance of implementing resilience characteristics in families to ensure better adaptation. Recommendations for future studies on resilience in families with a child with type 1 diabetes are made.
AFRIKAANSE OPSOMMING: ’n Chroniese siekte soos tipe 1 diabetes het nie ’n enkelvoudige impak op die individu se fisiese en sielkundige welstand nie, maar uiteindelik ook op die gesin se welstand. Die gesin vervul tipies die rol van primêre ondersteuningsnetwerk vir die kind met diabetes. Ongeag die fisiese en sielkundige struikelblokke wat deel is van die siekte, bly ’n groot aantal gesinne steeds veerkragtig. Gesinne beskik oor die vermoë om verstellings te maak en aan te pas by ’n verskeidenheid van lewensstressors. Gevolglik het hierdie studie gepoog om gesinsveerkragtigheidskenmerke te identifiseer en te verken, nadat ’n kind met ’n chroniese siekte gediagnoseer is. Die Resiliency Model of Family Stress, Adjustment and Adaptation (McCubbin & McCubbin, 2001) het gedien as die teoretiese raamwerk vir hierdie studie. Eenen- vyftig primêre versorgers het hul gesinne in die studie verteenwoordig. In elk van die gesinne was daar ’n kind met tipe 1 diabetes wat ’n pasiënt was by ’n groot staatshospitaal in die Wes-Kaap, Suid-Afrika. Die studie het gebruik gemaak van ’n gemengde-metode benadering en het van die deelnemers verwag om ’n oopeinde-vraag te beantwoord, sowel as vier kwantitatiewe vraelyste te voltooi. Die afhanklike veranderlike in die studie was gesinsaanpassing, gemeet met die Family Attachment and Changeability Index 8 (FACI8) (McCubbin & McCubbin, 2001). Gebasseer op die teorie en die bevindinge van vorige studies is die volgende meetinstrumente gebruik om die onafhanklike veranderlikes mee te meet: die Family Hardiness Index, Family Problem Solving and Communication Scale, en die Family Time and Routine Index. Die kwantitatiewe resultate toon die volgende gesinsveerkragtigheidskenmerke: positiewe kommunikasie wat in die gesin beoefen word; die gesin se bereidwilligheid om verandering te aanvaar en dit as positief te beskou; en gesinstyd saam en gesinsroetines wat beoefen word. Die belangrikste gesinsveerkragtigheidskenmerke volgens die kwalitatiewe data is die ondersteuning en inligting verkry vanaf die pediatriese diabetes-spesialis, die gesin se geloof en die ondersteuning wat hulle van hulle kerk verkry het. Hierdie studie dra by tot die toenemende behoefte aan en waarde van positiewe sielkunde. Die studie skep ook die geleentheid om gesinne en hospitaalpersoneel in te lig oor die noodsaaklikheid van die implementering en ontwikkeling van gesinsveerkragtigheidskenmerke vir die beter aanpassing van gesinne. Ten slotte word aanbevelings vir toekomstige veerkragtigheidstudies in gesinne met ’n kind met tipe 1 diabetes gemaak.
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Kristin, Blair. "Stress adaptation in school-aged children hospitalized with type 1 diabetes mellitus." Connect to resource, 2008. http://hdl.handle.net/1811/32225.
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Tong, Choi-ying, and 唐彩瑩. "An empowerment model for mothers with diabetes mellitus children in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1995. http://hub.hku.hk/bib/B31212682.
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Waldron, Sheridan. "The evaluation of a low fat dietary intervention in children with diabetes." Thesis, University of Leicester, 2004. http://hdl.handle.net/2381/29489.
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The aim of the study was to test an intervention aimed at reducing fat intake in type 1 diabetic children. Method: The intervention involved an individual assessment of the child's dietary intake and a personalised behavioural approach which included the setting of goals to facilitate appropriate food choices. Several quantitative measures were used to assess dietary intake, blood indices, knowledge and perceptions, at the intervention and one year thereafter. Results: Total fat intake in these children was lower than expected before the intervention, probably because dietary changes had occurred following the diagnosis of diabetes. Nevertheless, following the intervention, a modest but statistically significant, decrease in fat intake of 1.4% of total energy was achieved from 36.3% to 34.9%. Other measurable and desirable changes were found in food choices and most foods chosen as dietary goals. Some of these changes were statistically significant. Individuals who reported the achievement of all dietary goals accomplished the greatest fat reduction (2.1% of total energy). The consumption of high fibre foods, including fruit and vegetables was low. No changes were observed in serum lipoproteins or glycaemic control. Knowledge of healthy eating principles was good but appeared to be superficial, as the perception of fat intake was not related to actual intake. The majority of participants did not perceive that the intervention made a substantial difference to their fat intake. Conclusion: In the absence of a contemporaneous control group it is difficult to disentangle the effects of background secular trends. However, the overall findings suggest that fat intake can be reduced through an individualised, focused and practical approach to dietary education in motivated children with diabetes. Recommendations are made to improve the intervention and to target groups with specific dietary needs.
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Weist, Mark D. "Empirical validation of treatment targets for the management of diabetes in children." Diss., Virginia Tech, 1991. http://hdl.handle.net/10919/39865.
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Ноncharenko, V. A. "Structure of periodontic tissue diseases in children with insulin dependence diabetes mellitus." Thesis, БДМУ, 2021. http://dspace.bsmu.edu.ua:8080/xmlui/handle/123456789/19123.
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Chiasera, Janelle Marie. "Examination of the determinants of overweight and diabetes mellitus in US children." The Ohio State University, 2005. http://rave.ohiolink.edu/etdc/view?acc_num=osu1118948445.
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Barcroft, Laura Grace. "Peer mentoring with parents of children newly diagnosed with type 1 diabetes." Thesis, Cardiff University, 2015. http://orca.cf.ac.uk/75641/.
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A diagnosis of type 1 diabetes mellitus (T1DM) in childhood can have wide reaching implications for the child and their wider family system. The child and family’s physical and emotional wellbeing can be significantly impacted by the psychological adjustment and coping of the parents. Experienced peer mentoring is an intervention aimed at promoting wellbeing and adjustment amongst parents of children with chronic conditions. The intervention involves an experienced parent of a child with T1DM (Link Parent) offering informational, affirmational and emotional support to a parent of a newly diagnosed child (Recipient Parent). The aim of this study was to explore the experiences of such support from both Link and Recipient Parents’ points of view. Five Recipient Parents and seven Link Parents were recruited from a wider sample of parents who participated in the mentoring programme. They took part in a semi-structured interview about their experiences of providing or receiving peer mentoring. An Interpretative Phenomenological Analysis produced four super-ordinate themes for the Recipient Parents: Build up to and Initial Impact of Diagnosis; Content of support; Process of support; Impact of support. Four super-ordinate themes were also produced for the Link Parents: Attitudes towards the project; Support provided; Relationship with Recipient Parent; Understanding the impact of support. The results provided insight into the positive impact that offering and receiving such support can have on parents of children with T1DM. The results also highlighted the idiosyncratic nature of such experiences. The implications for future clinical application of the intervention were discussed as well as directions for further research.
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Tong, Choi-ying. "An empowerment model for mothers with diabetes mellitus children in Hong Kong /." Hong Kong : University of Hong Kong, 1995. http://sunzi.lib.hku.hk/hkuto/record.jsp?B14035509.
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Scoggin, Peggy Ann. "The ENERGY club: A diabetes prevention project for Monterey Elementary School." CSUSB ScholarWorks, 2007. https://scholarworks.lib.csusb.edu/etd-project/3088.
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The Monterey School Diabetes Prevention Project's (MSDPP) ENERGY Club is a pilot project for school-based health prevention curriculum targeting students with risk factors for diabetes. ENERGY is an acronym for Exercise 'n Eating Right is Good for You.
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Silva, Tatiany Cristine da. "Marcadores de risco para o Diabete Melito Infantil : um estudo de caso controle em crianças de zero a 10 anos /." Botucatu : [s.n.], 2011. http://hdl.handle.net/11449/99196.
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Orientador: Iracema de Matos Paranhos CalderonBanca: Maria Aparecida Mourão Brasil
Banca: Belmiro Gonçalves Pereira
Resumo: A hiperinsulinemia no ambiente intrauterino é o principal determinante do DM infantil. Avaliar a relação entre marcadores maternos e neonatais e DM em crianças de zero a 10 anos. Estudo de caso-controle, onde foram incluídas 1400 crianças, diabéticas (449 casos) e não diabéticas (951 controles). Os marcadores dos recém-nascidos [peso, comprimento e IP, no momento do parto, e tempo de aleitamento (meses)] e os maternos [Índice de massa corporal (IMC), classes de IMC, tipo de parto e presença de DMG e Hipertensão arterial na gestação] foram associados ao DM infantil. Para a análise estatística foram empregados o teste do Qui-quadrado ou exato de Fisher e calculados os valores de Odds ratio [OR] e respectivos IC 95%, adotando-se p < 0,05. RESULTADOS As crianças diabéticas tinham maior peso (27,282 Kg) e estatura (1,27 m), resultando em maior IMC nos casos (16,442 vs 15,735 Kg/m2) (p = 0,000). As mães do grupo de casos apresentaram sobrepeso e obesidade (66,8% vs 45,0%), maior ocorrência de cesárea (62,0% vs 43,0%) e associação com DMG (27,8% vs 10,2%) e hipertensão arterial (18,0% vs 8,2%). Os marcadores dos recém-nascidos não diferenciaram os casos dos controles (p ≥ 0,05). Na análise univariada foram resultados significativos IMC, cesárea, DMG e Hipertensão arterial, com valores de OR de, respectivamente, 1,98; 2,19; 3,39 e 2,46 (p ≤ 0,05). Na multivariada, sobrepeso e obesidade (OR = 1,53), cesárea (OR = 1,73) e DMG (OR = 2,00) favoreceram o desenvolvimento DM infantil (p < 0,05). Sobrepeso e obesidade, cesárea e DMG, presentes na gestação, confirmaram-se como fator de risco independente para o DM infantil
Abstract: Hyperinsulinemia in the intrauterine environment is the major determinant of DM (Diabetes Mellitus) in children. To evaluate the relationship between maternal and neonatal markers and DM in children up to 10 years. METHOD case-control study, including 1400 diabetic (449 cases) and nondiabetic children (951 controls). Newborns markers [weight, length and ponderal index, at delivery, and duration of breastfeeding (months)] and maternal markers [Body Mass Index (BMI), BMI classes, type of delivery and the presence of GDM (Gestational Diabetes Mellitus) and Hypertension in pregnancy] were associated with childhood DM. For the statistical analysis, the chi-square or Fisher's exact test was used, and values of Odds Ratio [OR] and their several CI95% (Confidence Interval) were calculated by adopting p <0.05. RESULTS The diabetic children had higher weight (27.282 kg) and height (1.27 m) resulting in higher BMI (16.442 vs. 15.735 kg/m2) (p = 0.000). Mothers in the case group were overweight or obese (66.8% vs 45.0%), had higher incidence of cesarean section (62.0% vs 43.0%) and association with GDM (27.8% vs 10.2 %) and hypertension (18.0% vs 8.2%). Newborns markers did not differed cases from controls (p ≥ 0.05). In the univariate analysis, significant results were BMI, cesarean section, GDM and hypertension, with OR values of, respectively, 1.98, 2.19, 3.39 and 2.46 (p ≤ 0.05). In multivariate analysis, overweight and obesity (OR = 1.53), cesarean section (OR = 1.73) and GDM (OR = 2.00) favored the development of DM in children (p <0.05). Overweight and obesity, cesarean section and GDM during pregnancy were confirmed as independent risk factor for DM in children
Mestre
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Eabon, Michelle F. "A cognitive developmental study of children's conceptions of stress and experience with stressors : a comparison of diabetic, learning disabled, and nonclinical groups of children." The Ohio State University, 1987. http://rave.ohiolink.edu/etdc/view?acc_num=osu1260987133.
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Von, Oettingen Julia Elisabeth. "Simplifying the Evaluation of Children With New Onset Diabetes: Utility of Pancreatic Autoantibodies for Diabetes Type Classification and Use of Serum Bicarbonate to Diagnose and Classify Diabetic Ketoacidosis." Thesis, Harvard University, 2015. http://nrs.harvard.edu/urn-3:HUL.InstRepos:17613729.
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Objectives: To assess whether routinely measuring pancreatic autoantibodies (PAA) in pediatric new onset diabetes (NODM) is necessary, and to evaluate serum bicarbonate (HCO3) as a substitute for venous pH (vpH) in the diagnosis of diabetic ketoacidosis (DKA).
Methods: Retrospective analysis of all patients with NODM admitted to Boston Children's Hospital from 10/1/07-7/1/13. Logistic regression was used to develop a clinical score to classify diabetes type. Linear and logistic regression were used to assess serum HCO3 as a predictor of vpH and DKA, respectively.
Results: Of 1089 patients (45.1% female, 76.7% white, age 10.6±4.5 years), < 6% had a change in diagnosis of diabetes type following PAA panel results. A scoring system using weight z-score, age and race had 91.7% sensitivity and 82% specificity to predict type 1 diabetes. In a subset of 690 patients (19.4% DKA), HCO3 predicted vpH using the formula vpH=6.81301+(0.17823*ln[HCO3]); R2 0.75 (p<0.001), DKA and severe DKA (c-statistic 0.97 [95% CI 0.96-0.99, p<0.001] and 0.99 [95% CI 0.991-0.999, p<0.001], respectively).
Conclusions: A simple scoring system may reduce to ~15% the number of PAA measurements needed to classify diabetes type. Serum HCO3 concentration alone can substitute for vpH to diagnose DKA and classify severity in children with NODM.
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Tala, Hazel Marie Bituin Linan. "The oral health status and dental awareness of young Hong Kong Chinese with insulin dependent diabetes mellitus (IDDM)." Click to view the E-thesis via HKUTO, 2000. http://sunzi.lib.hku.hk/hkuto/record/B31954145.
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Knight, Madison, and Madison Knight. "The Effects of Glucose Levels on Academic Performance of Children and Adolescents with Type 1 Diabetes Mellitus." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/625355.
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This study examined how children and adolescents with type 1 diabetes mellitus' (T1DM) glucose levels during and prior to academic performance impact the outcome on a variety of reading, writing, and mathematics tasks. The study sample was selected from a larger study. Participants wore a continuous glucose monitor for approximately six days and complete a neurobehavioral evaluation that consisted of a variety of tasks including tasks that assessed basic reading skills, reading fluency, reading comprehension, math fact fluency, math calculation, math problem solving, spelling, and writing fluency. Results indicated that individuals who experience extreme glucose levels (e.g. hyperglycemia or hypoglycemia) perform worse on spelling accuracy tasks. Additionally, when an individual is hyperglycemic his or her reading and writing fluency skills decrease. Moreover, poor glucose control prior to academic performance increased individual's risk for exhibiting impaired performance on reading and mathematics tasks. Overall, the study results suggest that one's glucose levels prior to and during academic performance potentially impact overall execution of reading, writing, and mathematics abilities. Therefore, these findings support the need to move beyond consideration of only overall glucose levels and review temporal influence of glucose levels on academic performance to track fluctuations on academic performance and determine necessary accommodations to buffer glycemic dysregulation effects. In particular, individuals whose glucose levels are frequently within the hyperglycemic range are at greatest risk for performing below their optimal level.
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Silva, Tatiany Cristine da [UNESP]. "Marcadores de risco para o Diabete Melito Infantil: um estudo de caso controle em crianças de zero a 10 anos." Universidade Estadual Paulista (UNESP), 2011. http://hdl.handle.net/11449/99196.
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A hiperinsulinemia no ambiente intrauterino é o principal determinante do DM infantil. Avaliar a relação entre marcadores maternos e neonatais e DM em crianças de zero a 10 anos. Estudo de caso-controle, onde foram incluídas 1400 crianças, diabéticas (449 casos) e não diabéticas (951 controles). Os marcadores dos recém-nascidos [peso, comprimento e IP, no momento do parto, e tempo de aleitamento (meses)] e os maternos [Índice de massa corporal (IMC), classes de IMC, tipo de parto e presença de DMG e Hipertensão arterial na gestação] foram associados ao DM infantil. Para a análise estatística foram empregados o teste do Qui-quadrado ou exato de Fisher e calculados os valores de Odds ratio [OR] e respectivos IC 95%, adotando-se p < 0,05. RESULTADOS As crianças diabéticas tinham maior peso (27,282 Kg) e estatura (1,27 m), resultando em maior IMC nos casos (16,442 vs 15,735 Kg/m2) (p = 0,000). As mães do grupo de casos apresentaram sobrepeso e obesidade (66,8% vs 45,0%), maior ocorrência de cesárea (62,0% vs 43,0%) e associação com DMG (27,8% vs 10,2%) e hipertensão arterial (18,0% vs 8,2%). Os marcadores dos recém-nascidos não diferenciaram os casos dos controles (p ≥ 0,05). Na análise univariada foram resultados significativos IMC, cesárea, DMG e Hipertensão arterial, com valores de OR de, respectivamente, 1,98; 2,19; 3,39 e 2,46 (p ≤ 0,05). Na multivariada, sobrepeso e obesidade (OR = 1,53), cesárea (OR = 1,73) e DMG (OR = 2,00) favoreceram o desenvolvimento DM infantil (p < 0,05). Sobrepeso e obesidade, cesárea e DMG, presentes na gestação, confirmaram-se como fator de risco independente para o DM infantil
Hyperinsulinemia in the intrauterine environment is the major determinant of DM (Diabetes Mellitus) in children. To evaluate the relationship between maternal and neonatal markers and DM in children up to 10 years. METHOD case-control study, including 1400 diabetic (449 cases) and nondiabetic children (951 controls). Newborns markers [weight, length and ponderal index, at delivery, and duration of breastfeeding (months)] and maternal markers [Body Mass Index (BMI), BMI classes, type of delivery and the presence of GDM (Gestational Diabetes Mellitus) and Hypertension in pregnancy] were associated with childhood DM. For the statistical analysis, the chi-square or Fisher's exact test was used, and values of Odds Ratio [OR] and their several CI95% (Confidence Interval) were calculated by adopting p <0.05. RESULTS The diabetic children had higher weight (27.282 kg) and height (1.27 m) resulting in higher BMI (16.442 vs. 15.735 kg/m2) (p = 0.000). Mothers in the case group were overweight or obese (66.8% vs 45.0%), had higher incidence of cesarean section (62.0% vs 43.0%) and association with GDM (27.8% vs 10.2 %) and hypertension (18.0% vs 8.2%). Newborns markers did not differed cases from controls (p ≥ 0.05). In the univariate analysis, significant results were BMI, cesarean section, GDM and hypertension, with OR values of, respectively, 1.98, 2.19, 3.39 and 2.46 (p ≤ 0.05). In multivariate analysis, overweight and obesity (OR = 1.53), cesarean section (OR = 1.73) and GDM (OR = 2.00) favored the development of DM in children (p <0.05). Overweight and obesity, cesarean section and GDM during pregnancy were confirmed as independent risk factor for DM in children