José G B Derraik1,2,3, Wayne S Cutfield1,2,4, Sarah E Maessen1, Paul L Hofman1,4, Timothy Kenealy1,5, Alistair J Gunn4,6, Craig A Jefferies1,4. 1. Liggins Institute, University of Auckland, Auckland, New Zealand. 2. A Better Start-National Science Challenge, University of Auckland, Auckland, New Zealand. 3. Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden. 4. Starship Children's Health, Auckland District Health Board, Auckland, New Zealand. 5. School of Medicine, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand. 6. Department of Physiology, University of Auckland, Auckland, New Zealand.
Abstract
OBJECTIVE: New-onset diabetic ketoacidosis (NO-DKA) is entirely preventable with early recognition of the symptoms of type 1 diabetes mellitus (T1D). In this study, we aimed to assess whether a simple and easily delivered educational campaign could reduce the risk of DKA. METHODS: A poster highlighting key features of new-onset T1D was delivered once a year over 2 years to mailboxes of over 460 000 individual residential households in the Auckland region (New Zealand). In the first year, the campaign poster was also delivered to all general practices in the region. Families of all newly diagnosed cases of T1D in children answered a brief questionnaire to ascertain whether the campaign reached them. RESULTS: Over the 24-month period covered by this study, 132 new cases of T1D were diagnosed in children and adolescents in Auckland. There were 38 cases (28.8%) of DKA, which is similar to the average over the previous 5-year period (27.0%). The caregivers of three children reported both seeing the campaign poster and seeking medical attention as a result. None of these three children were in DKA at diagnosis; they were aged 6.3 to 9.7 years, and of New Zealand European ethnicity. CONCLUSIONS: A non-targeted campaign to raise awareness of diabetes symptoms in youth led only a few caregivers to seek timely medical attention. Overall, this once-yearly untargeted campaign to raise awareness of diabetes symptoms in youth had limited impact. More effective strategies are required, possibly involving sustained targeted education of medical practitioners.
OBJECTIVE: New-onset diabetic ketoacidosis (NO-DKA) is entirely preventable with early recognition of the symptoms of type 1 diabetes mellitus (T1D). In this study, we aimed to assess whether a simple and easily delivered educational campaign could reduce the risk of DKA. METHODS: A poster highlighting key features of new-onset T1D was delivered once a year over 2 years to mailboxes of over 460 000 individual residential households in the Auckland region (New Zealand). In the first year, the campaign poster was also delivered to all general practices in the region. Families of all newly diagnosed cases of T1D in children answered a brief questionnaire to ascertain whether the campaign reached them. RESULTS: Over the 24-month period covered by this study, 132 new cases of T1D were diagnosed in children and adolescents in Auckland. There were 38 cases (28.8%) of DKA, which is similar to the average over the previous 5-year period (27.0%). The caregivers of three children reported both seeing the campaign poster and seeking medical attention as a result. None of these three children were in DKA at diagnosis; they were aged 6.3 to 9.7 years, and of New Zealand European ethnicity. CONCLUSIONS: A non-targeted campaign to raise awareness of diabetes symptoms in youth led only a few caregivers to seek timely medical attention. Overall, this once-yearly untargeted campaign to raise awareness of diabetes symptoms in youth had limited impact. More effective strategies are required, possibly involving sustained targeted education of medical practitioners.
Authors: G Todd Alonso; Alex Coakley; Laura Pyle; Katherine Manseau; Sarah Thomas; Arleta Rewers Journal: Diabetes Care Date: 2019-10-10 Impact factor: 19.112
Authors: Wei Peng; Jinna Yuan; Valentina Chiavaroli; Guanping Dong; Ke Huang; Wei Wu; Rahim Ullah; Binghan Jin; Hu Lin; José G B Derraik; Junfen Fu Journal: Front Endocrinol (Lausanne) Date: 2021-04-27 Impact factor: 5.555
Authors: Valentino Cherubini; Julia M Grimsmann; Karin Åkesson; Niels H Birkebæk; Ondrej Cinek; Klemen Dovč; Rosaria Gesuita; John W Gregory; Ragnar Hanas; Sabine E Hofer; Reinhard W Holl; Craig Jefferies; Geir Joner; Bruce R King; Elizabeth J Mayer-Davis; Alexia S Peña; Birgit Rami-Merhar; Ulrike Schierloh; Torild Skrivarhaug; Zdenek Sumnik; Jannet Svensson; Justin T Warner; Nataša Bratina; Dana Dabelea Journal: Diabetologia Date: 2020-05-08 Impact factor: 10.460