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1型糖尿病幼儿:行为研究的最新进展

Young Children with Type 1 Diabetes: Recent Advances in Behavioral Research.

作者信息

Monaghan Maureen, Bryant Breana L, Inverso Hailey, Moore Hailey R, Streisand Randi

机构信息

Children's National Hospital, 111 Michigan Ave NW, Washington, DC, 20010, USA.

George Washington University School of Medicine, Washington, DC, USA.

出版信息

Curr Diab Rep. 2022 Jun;22(6):247-256. doi: 10.1007/s11892-022-01465-0. Epub 2022 Apr 18.

Abstract

PURPOSE OF REVIEW

This review provides a recent update of behavioral research pertinent to young children with T1D and addresses current priorities and future directions.

RECENT FINDINGS

Rates of type 1 diabetes (T1D) in young children (ages 1-7) are continuing to rise. Since 2014, changes to diabetes care and management have impacted young children and reinforced the need for increased attention and interventions to support diabetes management, especially in caregivers who are primarily responsible for their young child's diabetes management. T1D is associated with unique physiologic challenges in young children, with constant management demands elevating parental diabetes-related stress and fear of hypoglycemia. Diabetes technology use has significantly increased in young children, contributing to improvements in glycemic levels and parent and child psychosocial functioning. Yet despite the positive outcomes demonstrated in select clinical behavioral interventions, research with this young child age group remains limited in scope and quantity.

摘要

综述目的

本综述提供了与患有1型糖尿病(T1D)的幼儿相关的行为研究的最新进展,并阐述了当前的重点和未来的方向。

最新发现

幼儿(1至7岁)的1型糖尿病发病率持续上升。自2014年以来,糖尿病护理和管理的变化对幼儿产生了影响,并强化了加大关注和干预以支持糖尿病管理的必要性,特别是在主要负责幼儿糖尿病管理的照顾者中。T1D在幼儿中伴随着独特的生理挑战,持续的管理需求增加了父母与糖尿病相关的压力以及对低血糖的恐惧。幼儿对糖尿病技术的使用显著增加,有助于改善血糖水平以及父母和儿童的心理社会功能。然而,尽管在某些临床行为干预中取得了积极成果,但针对这个幼儿年龄组的研究在范围和数量上仍然有限。

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本文引用的文献

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Patterns of Continuous Glucose Monitor Use in Young Children Throughout the First 18 Months Following Type 1 Diabetes Diagnosis.
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Racial disparities in treatment and outcomes of children with type 1 diabetes.
Pediatr Diabetes. 2021 Mar;22(2):241-248. doi: 10.1111/pedi.13139. Epub 2020 Oct 25.
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A decade of improved glycemic control in young children with type 1 diabetes: A population-based cohort study.
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