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  • 1
    Online Resource
    Online Resource
    Changing Prescribing Patterns of Type 2 Diabetes Medications from 2002–2010: An Electronic Health Record-Based Evaluation
    SAGE Publications ; 2013
    In:  Journal of Diabetes Science and Technology Vol. 7, No. 1 ( 2013-01), p. 119-122
    Details
    In: Journal of Diabetes Science and Technology, SAGE Publications, Vol. 7, No. 1 ( 2013-01), p. 119-122
    Abstract: The implementation of electronic health records (EHRs) may support evaluations of health care delivery, such as the prescription of newly approved medications, to adults with diabetes. We aimed to evaluate prescribing patterns of thiazolidinediones and novel glucose-lowering drug classes using electronic prescribing data contained in an outpatient EHR from 2002–2010. Methods: We identified adults with type 2 diabetes seen from 2002–2010 who were newly prescribed rosiglitazone (ROSI), pioglitazone (PIO), or a novel glucose-lowering drug class (other). The annual number of new prescriptions and their relative percentages (per 1000 patients) were calculated. Results: From 2002–2010, 6209 patients with type 2 diabetes were newly prescribed 8858 eligible medications. In 2006, ROSI and PIO accounted for 44% and 37% of new prescriptions, respectively. After 2007, the relative percentage of new ROSI prescriptions declined more rapidly than PIO prescriptions, falling to 7% and 47% of peak levels, respectively, by 2010. By 2010, the relative percentages of new ROSI, PIO, and other prescriptions were 2%, 18%, and 80%, respectively. Conclusions: Evaluations of EHR data represent a cost-effective method for evaluating diabetes medications with new Food and Drug Administration warnings or indications. Validation of demographic and clinical data will expand the scope of EHR-based evaluations of health care delivery and outcomes for adults with diabetes.
    Type of Medium: Online Resource
    ISSN: 1932-2968 , 1932-2968
    URL: Article
    DOI: 10.1177/193229681300700114
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2013
    detail.hit.zdb_id: 2467312-2
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  • 2
    Online Resource
    Online Resource
    Improving dietary quality in youth with type 1 diabetes: randomized clinical trial of a family-based behavioral intervention
    Springer Science and Business Media LLC ; 2015
    In:  International Journal of Behavioral Nutrition and Physical Activity Vol. 12, No. 1 ( 2015-12)
    Details
    In: International Journal of Behavioral Nutrition and Physical Activity, Springer Science and Business Media LLC, Vol. 12, No. 1 ( 2015-12)
    Type of Medium: Online Resource
    ISSN: 1479-5868
    URL: Article
    DOI: 10.1186/s12966-015-0214-4
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2015
    detail.hit.zdb_id: 2134691-4
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  • 3
    Online Resource
    Online Resource
    Associations of Disordered Eating Behavior With the Family Diabetes Environment in Adolescents With Type 1 Diabetes
    Ovid Technologies (Wolters Kluwer Health) ; 2015
    In:  Journal of Developmental & Behavioral Pediatrics Vol. 36, No. 1 ( 2015-01), p. 8-13
    Details
    In: Journal of Developmental & Behavioral Pediatrics, Ovid Technologies (Wolters Kluwer Health), Vol. 36, No. 1 ( 2015-01), p. 8-13
    Type of Medium: Online Resource
    ISSN: 0196-206X
    URL: Article
    DOI: 10.1097/DBP.0000000000000116
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2015
    detail.hit.zdb_id: 2062814-6
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  • 4
    Online Resource
    Online Resource
    Reducing Acute Adverse Outcomes in Youths With Type 1 Diabetes: A Randomized, Controlled Trial
    American Academy of Pediatrics (AAP) ; 2003
    In:  Pediatrics Vol. 112, No. 4 ( 2003-10-01), p. 914-922
    Details
    In: Pediatrics, American Academy of Pediatrics (AAP), Vol. 112, No. 4 ( 2003-10-01), p. 914-922
    Abstract: Objective. Both acute and chronic complications of diabetes account for a disproportionate percentage of US health care expenditures. Despite improvements in diabetes care, the incidence of adverse events in children with type 1 diabetes remains high, particularly for youths with poor glycemic control. Cost-effective intervention programs designed to reduce complications are needed. This study evaluated a low-intensity, nonmedical intervention using a case manager (called a “Care Ambassador”), with and without the supplementation of psychoeducational modules, designed to monitor and encourage routine diabetes care visits to reduce short-term adverse outcomes and improve glycemic control in youths with type 1 diabetes. Methods. We performed a 2-year prospective, randomized clinical trial in 299 youths with type 1 diabetes, aged 7 to 16 years, comparing 3 treatment programs (Care Ambassador [CA], Care Ambassador plus psychoeducational modules [CA+] , and standard multidisciplinary diabetes care [SC]). The study was conducted in a large metropolitan US city from April 1997 through April 2000. Number of medical visits, frequency of hypoglycemic events, hospital/emergency department (ED) utilization, and glycosylated hemoglobin A1c were assessed during follow-up. Results. During the 2-year study period, both the CA and CA+ groups had significantly more routine visits (mean [standard deviation]: 7.3 [2.06] and 7.5 [2.02], respectively) compared with the SC group (5.4 [2.62] ). The CA+ intervention group had significantly reduced rates of short-term adverse outcomes compared with the other 2 groups; 25% fewer total hypoglycemic events, 60% fewer severe hypoglycemic events, and 40% fewer hospitalizations and ED visits. “High-risk” youths in the CA+ group (baseline glycosylated hemoglobin A1c ≥8.7%) were 3.4-fold (1.57–7.41) more likely to improve their glycemic control compared with those at high risk in the other 2 groups. Conclusions. For youths with type 1 diabetes, the CA and CA+ interventions increased visit frequency. Youths in the CA+ intervention had reduced rates of hypoglycemia and hospital/ED utilization with estimated annual cost savings of $80 000 to $90 000. The CA+ intervention compared with the other 2 groups improved glycemic control in “high-risk” youths. Nonmedical case management incorporating psychoeducational modules seems to be a cost-effective approach to improving outcomes in youths with diabetes.
    Type of Medium: Online Resource
    ISSN: 0031-4005 , 1098-4275
    URL: Article
    DOI: 10.1542/peds.112.4.914
    Language: English
    Publisher: American Academy of Pediatrics (AAP)
    Publication Date: 2003
    detail.hit.zdb_id: 1477004-0
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  • 5
    Online Resource
    Online Resource
    Associations of Youth and Parent Weight Status with Reported versus Predicted Daily Energy Intake and Hemoglobin A1c in Youth with Type 1 Diabetes Mellitus
    SAGE Publications ; 2013
    In:  Journal of Diabetes Science and Technology Vol. 7, No. 1 ( 2013-01), p. 263-270
    Details
    In: Journal of Diabetes Science and Technology, SAGE Publications, Vol. 7, No. 1 ( 2013-01), p. 263-270
    Abstract: The epidemic of overweight/obesity affects youth with type 1 diabetes mellitus (T1DM) and their families. In youth with T1DM and their parents, we examined weight status with reported and expected energy intake and with youth hemoglobin A1c (HbA1c). Methods: In 243 youth (48% female, 13 ± 3 years) and their parents (84% female, 45 ± 6 years), we assessed body mass index (BMI), prevalence of overweight/obesity, reported energy intake (REI), and youth glycemic control (HbA1c). The REI was compared with predicted daily energy requirements (DER; based on age, weight, sex, and physical activity). Results: Youth had diabetes duration of 6.3 ± 3.4 years and HbA1c of 8.5% ± 1.3%; 69% used insulin pump therapy. Overweight and obesity affected 23% and 11% of youth and 30% and 24% of parents, respectively. Youth and parent BMI ( r = 0.38; p 〈 .001) and weight status (overweight/obese; p 〈 .001) were significantly associated. The ratio of REI:DER was significantly lower in overweight/obese compared with underweight/normal weight parents (1.0 ± 0.4 versus 1.2 ± 0.5; p = .001) but did not differ among youth by weight status. Both youth and parent BMI were positively correlated with youth HbA1c (r = 0.14, p = .02; r = 0.16, p = .01, respectively). Hemoglobin A1c tended to be higher in obese than in overweight and normal weight youth (mean ± standard deviation [SD] 8.4 ± 1.4, 8.4 ± 1.3, and 8.8 ± 1.0, respectively; p = .06) and was significantly higher in youth whose parents were obese versus overweight or underweight/normal weight (mean ± SD 8.2 ± 1.2, 8.5 ± 1.4, and 8.9 ± 1.5, respectively; p 〈 .001). Conclusions: Similar to the general population, overweight and obesity are prevalent among families of youth with T1DM. Weight status appears to influence self-REI in parents and glycemic control in youth with T1DM, suggesting the need for family-based dietary interventions.
    Type of Medium: Online Resource
    ISSN: 1932-2968 , 1932-2968
    URL: Article
    DOI: 10.1177/193229681300700131
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2013
    detail.hit.zdb_id: 2467312-2
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  • 6
    Online Resource
    Online Resource
    How Do the Challenges of Emerging Adulthood Inform our Understanding of Diabetes Distress? An Integrative Review
    Springer Science and Business Media LLC ; 2020
    In:  Current Diabetes Reports Vol. 20, No. 6 ( 2020-06)
    Details
    In: Current Diabetes Reports, Springer Science and Business Media LLC, Vol. 20, No. 6 ( 2020-06)
    Type of Medium: Online Resource
    ISSN: 1534-4827 , 1539-0829
    URL: Article
    DOI: 10.1007/s11892-020-01301-3
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2020
    detail.hit.zdb_id: 2094158-4
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  • 7
    Online Resource
    Online Resource
    THIS ISSUE: Type 2 Diabetes
    SLACK, Inc. ; 2005
    In:  Pediatric Annals Vol. 34, No. 9 ( 2005-09), p. 669-672
    Details
    In: Pediatric Annals, SLACK, Inc., Vol. 34, No. 9 ( 2005-09), p. 669-672
    Type of Medium: Online Resource
    ISSN: 0090-4481 , 1938-2359
    URL: Article
    DOI: 10.3928/0090-4481-20050901-04
    Language: English
    Publisher: SLACK, Inc.
    Publication Date: 2005
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  • 8
    Online Resource
    Online Resource
    Therapeutic play to teach children with type 1 diabetes insulin self‐injection: A pilot trial in a developing country
    Wiley ; 2021
    In:  Journal for Specialists in Pediatric Nursing Vol. 26, No. 1 ( 2021-01)
    Details
    In: Journal for Specialists in Pediatric Nursing, Wiley, Vol. 26, No. 1 ( 2021-01)
    Abstract: Child participation in type 1 diabetes (T1D) self‐care is needed in developing countries due to a lack of resources, especially during the school day. This pilot study evaluated the feasibility of a therapeutic play intervention (ITP) versus standard education (SE) on the ability of children with T1D to correctly perform insulin injection technique. Design and Methods Children with T1D (7–12 years) were recruited at two diabetes clinics in Brazil and randomized to ITP or SE. Registered nurses received protocol training to deliver the intervention and perform data collection. ITP group received an education that included a story about a child with T1D who self‐injects insulin at school; SE group received routine clinic‐based education. Preintervention, children were video‐recorded giving insulin injections to a doll; postintervention, children were rerecorded giving the doll an injection. The research team reviewed the videos and assessed the injection technique using validated checklists. Parents reported children's self‐injection practices at baseline and 30 days. Results Children ( N  = 20, 40% male) were 9.6 ± 1.3 years old and had T1D for 3.6 ± 2.3 years; HbA1c was 9.1 ± 2.0%; 20% of ITP and 50% of SE children used syringes (vs. pens) for injections. At baseline, 80% of both groups knew how to self‐inject; most were taught by a parent/relative. Injection technique scores were low in both groups; ITP group increased their scores significantly postintervention. Practices of self‐injection did not change in either group after 30 days. Practice Implications The play‐based intervention appeared to improve the injection technique in the short‐term. Pilot findings support the development of a larger trial to evaluate the effectiveness of ITP on educating children on insulin injections.
    Type of Medium: Online Resource
    ISSN: 1539-0136 , 1744-6155
    URL: Issue
    URL: Article
    DOI: 10.1111/jspn.v26.1
    DOI: 10.1111/jspn.12309
    Language: English
    Publisher: Wiley
    Publication Date: 2021
    detail.hit.zdb_id: 2070374-0
    detail.hit.zdb_id: 2095309-4
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  • 9
    Online Resource
    Online Resource
    Technology to Optimize Pediatric Diabetes Management and Outcomes
    Springer Science and Business Media LLC ; 2013
    In:  Current Diabetes Reports Vol. 13, No. 6 ( 2013-12), p. 877-885
    Details
    In: Current Diabetes Reports, Springer Science and Business Media LLC, Vol. 13, No. 6 ( 2013-12), p. 877-885
    Type of Medium: Online Resource
    ISSN: 1534-4827 , 1539-0829
    URL: Article
    DOI: 10.1007/s11892-013-0419-3
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2013
    detail.hit.zdb_id: 2094158-4
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  • 10
    Online Resource
    Online Resource
    Youth-Perceived Burden of Type 1 Diabetes : Problem Areas in Diabetes Survey–Pediatric Version (PAID-Peds)
    SAGE Publications ; 2015
    In:  Journal of Diabetes Science and Technology Vol. 9, No. 5 ( 2015-09-01), p. 1080-1085
    Details
    In: Journal of Diabetes Science and Technology, SAGE Publications, Vol. 9, No. 5 ( 2015-09-01), p. 1080-1085
    Abstract: Management of type 1 diabetes in childhood can be challenging and overwhelming. Despite availability of advanced treatments and new technologies, the burden has not decreased as current approaches to intensive therapy are not without need for patient involvement. This study aimed to design and validate a measure of youth-reported burden related to type 1 diabetes management. Method: A multidisciplinary pediatric diabetes team designed the survey, based on a previously validated parent measure of diabetes-related burden (PAID-PR); survey revisions and pilot testing followed. The 20-item PAID-Peds assesses burden over the past month. Youth with type 1 diabetes (N = 126, ages 8-17, intensively treated with insulin pump therapy or multiple daily injections) completed the new survey, along with other surveys; parents completed companion measures. Electronic medical records and blood glucose meter download provided other salient data. Results: The PAID-Peds displayed excellent internal consistency (α = .94) and acceptable test–retest reliability (intraclass correlation .66, P 〈 .0001). The PAID-Peds correlated significantly with both youth and parent reports of diabetes-specific family conflict, negative affect around blood glucose monitoring, depressive symptomatology, trait anxiety, and quality of life. It was not correlated with demographic or clinical characteristics of the youth. Conclusions: This new measure, the PAID-Peds, of youth-reported burden related to type 1 diabetes may have clinical and research utility, particularly in the current era of emerging diabetes technologies that require ongoing patient input.
    Type of Medium: Online Resource
    ISSN: 1932-2968 , 1932-2968
    URL: Article
    DOI: 10.1177/1932296815583506
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2015
    detail.hit.zdb_id: 2467312-2
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