UNLABELLED: aims and objective: To describe the current non-adherence behaviours of Taiwanese children with type 1 diabetes mellitus. BACKGROUND: Poor adherence to prescribed protocols of long-term therapies is a pervasive and costly problem in the care of children with chronic illnesses. Non-adherence to diabetes mellitus treatment regimens of Taiwanese children with type 1 diabetes mellitus in Taiwan has not been well documented. DESIGN: Cross-sectional data were collected from 101 patients who had type 1 diabetes mellitus and were between the ages of 10 and 18 years. METHOD: Five types of adherence behaviours were measured: number of calories consumed per day, frequency of meals, self-monitoring of blood glucose, amount of time between injections and meals and frequency of exercise. RESULTS: Only 25% of patients consumed the ideal daily number of calories (within +/-10% of the ideal range), while 48% of patients consumed 10% fewer calories than the suggested ideal daily number of calories. Only 28% of patients consumed the ideal percentage (50-60%) of calories from carbohydrates. Approximately 15% of patients consumed >60% of their calories from carbohydrates and 30% of their calories from fat. Approximately 30% of patients ate their meals 20-40 minutes after injection; some patients ate their meals within 20 minutes after injection (45% in the morning and 33% in the evening). For frequency of meals, most patients (> or =90%) ate their regular three meals, three or four times per day; only 18% ate the ideal number of six times per day. For self-monitoring of blood glucose, most patients (>70%) tested their blood sugar twice a day, once in the morning and again in the evening. In terms of frequency of exercise, 48% of patients exercised once per day and 43% of patients did not exercise at all. Only 7% of patients met the good diabetes control of HbA(1c) < 7%; almost half of the patients had HbA(1c) > 10%. CONCLUSIONS: Overall, the patients had poor adherence behaviours in each aspect of diabetes mellitus management and diabetes control total glycosylated haemoglobin (HbA(1c)) was very poor. RELEVANCE TO CLINICAL PRACTICE: Studies are needed to explore factors related to non-adherence to treatment regimens as well as poor control of diabetes among Taiwanese children with type 1 DM.
UNLABELLED: aims and objective: To describe the current non-adherence behaviours of Taiwanese children with type 1 diabetes mellitus. BACKGROUND: Poor adherence to prescribed protocols of long-term therapies is a pervasive and costly problem in the care of children with chronic illnesses. Non-adherence to diabetes mellitus treatment regimens of Taiwanese children with type 1 diabetes mellitus in Taiwan has not been well documented. DESIGN: Cross-sectional data were collected from 101 patients who had type 1 diabetes mellitus and were between the ages of 10 and 18 years. METHOD: Five types of adherence behaviours were measured: number of calories consumed per day, frequency of meals, self-monitoring of blood glucose, amount of time between injections and meals and frequency of exercise. RESULTS: Only 25% of patients consumed the ideal daily number of calories (within +/-10% of the ideal range), while 48% of patients consumed 10% fewer calories than the suggested ideal daily number of calories. Only 28% of patients consumed the ideal percentage (50-60%) of calories from carbohydrates. Approximately 15% of patients consumed >60% of their calories from carbohydrates and 30% of their calories from fat. Approximately 30% of patients ate their meals 20-40 minutes after injection; some patients ate their meals within 20 minutes after injection (45% in the morning and 33% in the evening). For frequency of meals, most patients (> or =90%) ate their regular three meals, three or four times per day; only 18% ate the ideal number of six times per day. For self-monitoring of blood glucose, most patients (>70%) tested their blood sugar twice a day, once in the morning and again in the evening. In terms of frequency of exercise, 48% of patients exercised once per day and 43% of patients did not exercise at all. Only 7% of patients met the good diabetes control of HbA(1c) < 7%; almost half of the patients had HbA(1c) > 10%. CONCLUSIONS: Overall, the patients had poor adherence behaviours in each aspect of diabetes mellitus management and diabetes control total glycosylated haemoglobin (HbA(1c)) was very poor. RELEVANCE TO CLINICAL PRACTICE: Studies are needed to explore factors related to non-adherence to treatment regimens as well as poor control of diabetes among Taiwanese children with type 1 DM.
Authors: Rashida Ferrand; Sara Lowe; Barbra Whande; Lucia Munaiwa; Lisa Langhaug; Frances Cowan; Owen Mugurungi; Diana Gibb; Shungu Munyati; Brian G Williams; Elizabeth L Corbett Journal: Bull World Health Organ Date: 2009-12-16 Impact factor: 9.408
Authors: Rebecca O La Banca; Lori M B Laffel; Lisa K Volkening; Valéria C Sparapani; Emilia C de Carvalho; Lucila C Nascimento Journal: J Spec Pediatr Nurs Date: 2020-09-18 Impact factor: 1.260