Evaluating the quality of life in children and adolescents with type 1 diabetes mellitus on pump insulin therapy, considering the carbohydrate value in Uzbek national foods
Background. Type 1 diabetes mellitus (DM) in children and adolescents is a complex problem throughout the world. The onset of the disease at an early age and development of acute and chronic complications already at young age encourage searching the most optimal methods for treating this serious disease. The purpose of the study was to assess the quality of life in children and adolescents with type 1 DM on pump insulin therapy, considering the carbohydrate value in Uzbek national foods. Materials and methods. In the study, it was used a Russian version of a short form of the Diabetes Quality of Life for Youth (DQOLY-SF) questionnaire. Results. The results of the conducted study demonstrate reliably that the use of modern technologies is accompanied by the improvement of not only glycemic control, but also the quality of life. The obtained data allow us to conclude that the use of structured training programs is effective for improving the degree of compensation of carbohydrate metabolism and increasing quality of life in patients using pump insulin therapy. Conclusions. The use of pump insulin therapy has a positive impact on all aspects of the quality of life registered by the DQOLY-SF questionnaire. With the use of the square bolus and double wave bolus, considering the tables of bread units in dishes of Uzbek national cuisine, there was a tendency to improve the quality of life compared to those who used only a simple bolus.
Full Text:PDF (Русский)
McMahon SK, Airey FL, Marangou DA, et al. Insulin pump therapy in children and adolescents: improvement in key parameters of diabetes management including quality of life. Diabet Med. 2005 Jan;22(1):92-6. doi: 10.1111/j.1464-5491.2004.01359.x.
Valenzuela JM, Patino AM, McCullough J, et al. Insulin Pump Therapy and Health-Related Quality of Life in Children and Adolescents with Type 1 Diabetes. J Pediatr Psychol. 2006 Jul;31(6):650-60. doi: 10.1093/jpepsy/jsj088.
Varni JW, Seid M, Kurtin PS. The PedsQL 4.0: reliability and validity of the Pediatric Quality of Life Inventory version 4.0 generic Core Scales in healthy and patient population. Med Care. 2001 Aug;39(8):800-12. PMID: 11468499.
Varni JW, Seid M, Kurtin PS, Uzark K, Szer IS. The PedsQL 4.0 Generic Core Scales: Sensitivity, responsiveness, and impact on clinical decision-making. J Behav Med. 2002 Apr;25(2):175-93. PMID: 11977437.
Varni JW, Burwinkle TM, Jacobs JR, Gottschalk M, Kaufman F, Jones KL. The PedsQL in type 1 and type 2 diabetes: reliability and validity of the Pediatric Quality of Life Inventory General Core Scales and type 1 Diabetes Model. Diabetes Care. 2003;26(3):631-637. PMID: 12610013.
Ibragimova LI, Philippov YuI, Mayorov AYu. Insulin pump therapy in type 1 diabetes mellitus: education effectiveness and quality of life. Diabetes mellitus. 2012;(1):35-40. doi: 10.14341/2072-0351-5977. (in Russian).
Ahern J, Boland E, Doane R, et al. Insulin pump therapy in pediatrics: a therapeutic alternative to safely lower therapy HbA1c levels across all age groups. Pediatr Diabetes. 2002 Mar;3(1):10-5. doi: 10.1034/j.1399-5448.2002.30103.x.
Berhan Y, Waernbaum I, Lind T, Mollsten A, Dahlquist G; Swedish Childhood Diabetes Study Group. Thirty years of prospective nationwide incidence of childhood type 1 diabetes: the accelerating increase by time tends to level off in Sweden. Diabetes. 2011 Feb;60(2):577-81. doi: 10.2337/db10-0813.
Lin WH, Wang MC, Wang WM, et al. Incidence of and mortality from type I diabetes in Taiwan from 1999 through 2010: a nationwide cohort study. PLoS One. 2014 Jan 22;9(1):e86172. doi: 10.1371/journal.pone.0086172.
Newhook LA, Penney S, Fiander J, Dowden J. Recent incidence of type 1 diabetes mellitus in children 0–14 years in Newfoundland and Labrador, Canada climbs to over 45/100,000: a retrospective time trend study. BMC Res Notes. 2012 Nov 12;5:628. doi: 10.1186/1756-0500-5-628.
Rawshani A, Landin-Olsson M, Svensson AM, et al. The incidence of diabetes among 0-34 year olds in Sweden: new data and better methods. Diabetologia. 2014 Jul;57(7):1375-81. doi: 10.1007/s00125-014-3225-9.
Hoogma RP, Hammond RJ, Gomis R, et al. Comparison of the effects of continuous subcutaneous insulin infusion (CSII) and NPH-based multiple daily insulin injection (MDI) on glycaemic control and quality of life: results of 5-national trial. Diabet Med. 2006 Feb;23(2):141-7. DOI: 10.1111/j.1464-5491.2005.01738.x.
Urakami T, Suzuki J, Yoshida A, Saito H, Mugishima H. Incidence of children with slowly progressive form of type 1 diabetes detected by the urine glucose screening at schools in the Tokyo metropolitan area. Diabetes Res Clin Pract. 2008 Jun;80(3):473-6. doi: 10.1016/j.diabres.2008.01.029.
This work is licensed under a Creative Commons Attribution 4.0 International License.
© "Publishing House "Zaslavsky", 1997-2019