Young children with type 1 diabetes: challenges, research, and future directions.

Young children with type 1 diabetes: challenges, research, and future directions.
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DOI:
10.1007/s11892-014-0520-2
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发表时间:
2014
影响因子:
4.2
通讯作者:
Monaghan, Maureen
Monaghan, Maureen
中科院分区:
医学2区
文献类型:
--
作者:
Streisand, Randi;Monaghan, Maureen

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1型糖尿病(T1D)在幼儿(年龄<6岁)中的发病率正在上升。由美国糖尿病协会和医疗保健团队提供的糖尿病管理指南可以理解地将检查幼儿血糖水平、施用胰岛素以及监测饮食和体力活动的责任的高负担放在看护者身上,最终目标是保持严格的血糖控制。不幸的是,这种严格的控制是需要在一个脆弱的发展时期,当行为是不可预测的,T1D可能是生理上难以控制,养育压力可能会升高,照顾者是紧张的正常儿童照顾程序。尽管有潜在的不同管理需求,但很少提供管理幼儿糖尿病的特定教育和临床服务,并且对该幼儿年龄组的行为研究在范围和数量上都很有限。与T1D幼儿相关的研究结果进行了审查,并讨论了潜在的临床意义,以及未来的研究领域。
The incidence of type 1 diabetes (T1D) in young children (age <6 years) is rising. Diabetes management guidelines offered by the American Diabetes Association and health care teams understandably place a high burden of responsibility on caregivers to check young children's blood glucose levels, administer insulin, and monitor diet and physical activity with the ultimate goal of maintaining tight glycemic control. Unfortunately, this tight control is needed during a vulnerable developmental period when behavior is unpredictable, T1D can be physiologically difficult to control, parenting stress can be elevated, and caregivers are strained by normal child caretaking routines. Despite the potentially different management needs, specific education and clinical services for managing diabetes in young children are rarely offered, and behavioral research with this young child age group has been limited in scope and quantity. Research findings pertinent to young children with T1D are reviewed, and potential clinical implications, as well as areas for future research, are discussed.
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