School and pre-school children with type 1 diabetes during Covid-19 quarantine: The synergic effect of parental care and technology
Management of Type 1 Diabetes (T1D) poses numerous challenges, especially for young children and their families. Parental care positively influencesthe outcomesofchildren with T1D, while there are often criticisms in school environment. The COVID-19 pandemic has forced children and parents to spend...
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| Veröffentlicht in: | Diabetes research and clinical practice 2020-08, Vol.166, p.108302-108302, Article 108302 |
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| creator | Schiaffini, Riccardo Barbetti, Fabrizio Rapini, Novella Inzaghi, Elena Deodati, Annalisa Patera, Ippolita P. Matteoli, Maria C. Ciampalini, Paolo Carducci, Chiara Lorubbio, Antonella Schiaffini, Gabriele Cianfarani, Stefano |
| description | Management of Type 1 Diabetes (T1D) poses numerous challenges, especially for young children and their families. Parental care positively influencesthe outcomesofchildren with T1D, while there are often criticisms in school environment. The COVID-19 pandemic has forced children and parents to spend many hours at home and diabetes care has returned mainly in the hands of parents.
To evaluate the effectiveness of exclusive return to parental care in pre-school and school children with T1D treated with Tandem Basal IQ system during the COVID-19 pandemic.
22 children (M:F = 14:8) with T1D have been evaluated. We compared insulin and CGM data (TIR, TBR and TAR) of two periods: PRE-COV and IN-COV, in which children have transitioned from normal school attendance to the exclusive care of their parents.
During the IN-COV period a significantly (p |
| doi_str_mv | 10.1016/j.diabres.2020.108302 |
| format | Article |
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To evaluate the effectiveness of exclusive return to parental care in pre-school and school children with T1D treated with Tandem Basal IQ system during the COVID-19 pandemic.
22 children (M:F = 14:8) with T1D have been evaluated. We compared insulin and CGM data (TIR, TBR and TAR) of two periods: PRE-COV and IN-COV, in which children have transitioned from normal school attendance to the exclusive care of their parents.
During the IN-COV period a significantly (p < 0.001) higher median value of TIR (66,41%) was observed as compared to PRE-COV period (61,45%). Patients also showed a statistically significant difference (p < 0.002) between the IN-COV period and the PRE-COV period as concerning the TAR metric: respectively 29,86 ± 10,6% vs 34,73 ± 12,8%. The difference between the bolus insulin doses was statistically significant (PRE-COV 5,3 IU/day, IN-COV 7,9 IU/day – p < 0.05).
Our observational real-life study confirms the positive effect of parental care in T1D very young children and demonstrates that during the COVID-19 pandemic it was possible to obtain a good glycometabolic compensation despite the significant change in lifestyle.</description><identifier>ISSN: 0168-8227</identifier><identifier>EISSN: 1872-8227</identifier><identifier>DOI: 10.1016/j.diabres.2020.108302</identifier><identifier>PMID: 32623034</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Adolescent ; Betacoronavirus - isolation & purification ; Child ; Child, Preschool ; Coronavirus Infections - complications ; Coronavirus Infections - epidemiology ; Coronavirus Infections - prevention & control ; Coronavirus Infections - virology ; COVID-19 ; Diabetes Mellitus, Type 1 - drug therapy ; Diabetes Mellitus, Type 1 - physiopathology ; Diabetes Mellitus, Type 1 - virology ; Female ; Humans ; Hypoglycemic Agents - therapeutic use ; Infant ; Infant, Newborn ; Insulin - therapeutic use ; Italy - epidemiology ; Male ; Pandemics - prevention & control ; Parents - psychology ; Pneumonia, Viral - complications ; Pneumonia, Viral - epidemiology ; Pneumonia, Viral - prevention & control ; Pneumonia, Viral - virology ; Prognosis ; Quarantine - methods ; Retrospective Studies ; SARS-CoV-2</subject><ispartof>Diabetes research and clinical practice, 2020-08, Vol.166, p.108302-108302, Article 108302</ispartof><rights>2020 Elsevier B.V.</rights><rights>Copyright © 2020 Elsevier B.V. All rights reserved.</rights><rights>2020 Elsevier B.V. All rights reserved. 2020 Elsevier B.V.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c505t-2d4dc035eda31ad877c2022078da9eaf21732fad83f6bada537fe008ec1f21493</citedby><cites>FETCH-LOGICAL-c505t-2d4dc035eda31ad877c2022078da9eaf21732fad83f6bada537fe008ec1f21493</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0168822720305544$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,550,776,780,881,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32623034$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:144758713$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Schiaffini, Riccardo</creatorcontrib><creatorcontrib>Barbetti, Fabrizio</creatorcontrib><creatorcontrib>Rapini, Novella</creatorcontrib><creatorcontrib>Inzaghi, Elena</creatorcontrib><creatorcontrib>Deodati, Annalisa</creatorcontrib><creatorcontrib>Patera, Ippolita P.</creatorcontrib><creatorcontrib>Matteoli, Maria C.</creatorcontrib><creatorcontrib>Ciampalini, Paolo</creatorcontrib><creatorcontrib>Carducci, Chiara</creatorcontrib><creatorcontrib>Lorubbio, Antonella</creatorcontrib><creatorcontrib>Schiaffini, Gabriele</creatorcontrib><creatorcontrib>Cianfarani, Stefano</creatorcontrib><title>School and pre-school children with type 1 diabetes during Covid-19 quarantine: The synergic effect of parental care and technology</title><title>Diabetes research and clinical practice</title><addtitle>Diabetes Res Clin Pract</addtitle><description>Management of Type 1 Diabetes (T1D) poses numerous challenges, especially for young children and their families. Parental care positively influencesthe outcomesofchildren with T1D, while there are often criticisms in school environment. The COVID-19 pandemic has forced children and parents to spend many hours at home and diabetes care has returned mainly in the hands of parents.
To evaluate the effectiveness of exclusive return to parental care in pre-school and school children with T1D treated with Tandem Basal IQ system during the COVID-19 pandemic.
22 children (M:F = 14:8) with T1D have been evaluated. We compared insulin and CGM data (TIR, TBR and TAR) of two periods: PRE-COV and IN-COV, in which children have transitioned from normal school attendance to the exclusive care of their parents.
During the IN-COV period a significantly (p < 0.001) higher median value of TIR (66,41%) was observed as compared to PRE-COV period (61,45%). Patients also showed a statistically significant difference (p < 0.002) between the IN-COV period and the PRE-COV period as concerning the TAR metric: respectively 29,86 ± 10,6% vs 34,73 ± 12,8%. The difference between the bolus insulin doses was statistically significant (PRE-COV 5,3 IU/day, IN-COV 7,9 IU/day – p < 0.05).
Our observational real-life study confirms the positive effect of parental care in T1D very young children and demonstrates that during the COVID-19 pandemic it was possible to obtain a good glycometabolic compensation despite the significant change in lifestyle.</description><subject>Adolescent</subject><subject>Betacoronavirus - isolation & purification</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Coronavirus Infections - complications</subject><subject>Coronavirus Infections - epidemiology</subject><subject>Coronavirus Infections - prevention & control</subject><subject>Coronavirus Infections - virology</subject><subject>COVID-19</subject><subject>Diabetes Mellitus, Type 1 - drug therapy</subject><subject>Diabetes Mellitus, Type 1 - physiopathology</subject><subject>Diabetes Mellitus, Type 1 - virology</subject><subject>Female</subject><subject>Humans</subject><subject>Hypoglycemic Agents - therapeutic use</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Insulin - therapeutic use</subject><subject>Italy - epidemiology</subject><subject>Male</subject><subject>Pandemics - prevention & control</subject><subject>Parents - psychology</subject><subject>Pneumonia, Viral - complications</subject><subject>Pneumonia, Viral - epidemiology</subject><subject>Pneumonia, Viral - prevention & control</subject><subject>Pneumonia, Viral - virology</subject><subject>Prognosis</subject><subject>Quarantine - methods</subject><subject>Retrospective Studies</subject><subject>SARS-CoV-2</subject><issn>0168-8227</issn><issn>1872-8227</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>D8T</sourceid><recordid>eNqFUcuOEzEQtBCIDQufAPKRywQ_5skBtIp4SStxYDlbjt3OOEzsWduTVc78OJ6dsGJPnNzuqq5quxB6TcmaElq_26-1ldsAcc0Im3stJ-wJWtG2YUXLWPMUrTKvva8v0IsY94SQmpfVc3TBWc044eUK_f6heu8HLJ3GY4AiLlfV20EHcPjOph6n0wiY4tkQEkSsp2DdDm_80eqCdvh2kkG6ZB28xzc94HhyEHZWYTAGVMLe4FFmtSSzci7u3RKo3vnB704v0TMjhwivzucl-vn5083ma3H9_cu3zdV1oSpSpYLpUivCK9CSU6nbplH56Yw0rZYdSMNow5nJADf1VmpZ8cYAIS0omrGy45eoWHTjHYzTVozBHmQ4CS-tOLd-5QpEWXddV2f-h4WfkQNolR8Q5PBo7DHibC92_igazlnJqizw9iwQ_O0EMYmDjQqGQTrwUxSZlBNhpJt3qxaqCj7GAObBhhIxBy724hy4mAMXS-B57s2_Oz5M_U04Ez4uBMg_e7QQRFQWnAJtQ85GaG__Y_EHeWXCKA</recordid><startdate>20200801</startdate><enddate>20200801</enddate><creator>Schiaffini, Riccardo</creator><creator>Barbetti, Fabrizio</creator><creator>Rapini, Novella</creator><creator>Inzaghi, Elena</creator><creator>Deodati, Annalisa</creator><creator>Patera, Ippolita P.</creator><creator>Matteoli, Maria C.</creator><creator>Ciampalini, Paolo</creator><creator>Carducci, Chiara</creator><creator>Lorubbio, Antonella</creator><creator>Schiaffini, Gabriele</creator><creator>Cianfarani, Stefano</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>ZZAVC</scope></search><sort><creationdate>20200801</creationdate><title>School and pre-school children with type 1 diabetes during Covid-19 quarantine: The synergic effect of parental care and technology</title><author>Schiaffini, Riccardo ; Barbetti, Fabrizio ; Rapini, Novella ; Inzaghi, Elena ; Deodati, Annalisa ; Patera, Ippolita P. ; Matteoli, Maria C. ; Ciampalini, Paolo ; Carducci, Chiara ; Lorubbio, Antonella ; Schiaffini, Gabriele ; Cianfarani, Stefano</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c505t-2d4dc035eda31ad877c2022078da9eaf21732fad83f6bada537fe008ec1f21493</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Betacoronavirus - isolation & purification</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Coronavirus Infections - complications</topic><topic>Coronavirus Infections - epidemiology</topic><topic>Coronavirus Infections - prevention & control</topic><topic>Coronavirus Infections - virology</topic><topic>COVID-19</topic><topic>Diabetes Mellitus, Type 1 - drug therapy</topic><topic>Diabetes Mellitus, Type 1 - physiopathology</topic><topic>Diabetes Mellitus, Type 1 - virology</topic><topic>Female</topic><topic>Humans</topic><topic>Hypoglycemic Agents - therapeutic use</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Insulin - therapeutic use</topic><topic>Italy - epidemiology</topic><topic>Male</topic><topic>Pandemics - prevention & control</topic><topic>Parents - psychology</topic><topic>Pneumonia, Viral - complications</topic><topic>Pneumonia, Viral - epidemiology</topic><topic>Pneumonia, Viral - prevention & control</topic><topic>Pneumonia, Viral - virology</topic><topic>Prognosis</topic><topic>Quarantine - methods</topic><topic>Retrospective Studies</topic><topic>SARS-CoV-2</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schiaffini, Riccardo</creatorcontrib><creatorcontrib>Barbetti, Fabrizio</creatorcontrib><creatorcontrib>Rapini, Novella</creatorcontrib><creatorcontrib>Inzaghi, Elena</creatorcontrib><creatorcontrib>Deodati, Annalisa</creatorcontrib><creatorcontrib>Patera, Ippolita P.</creatorcontrib><creatorcontrib>Matteoli, Maria C.</creatorcontrib><creatorcontrib>Ciampalini, Paolo</creatorcontrib><creatorcontrib>Carducci, Chiara</creatorcontrib><creatorcontrib>Lorubbio, Antonella</creatorcontrib><creatorcontrib>Schiaffini, Gabriele</creatorcontrib><creatorcontrib>Cianfarani, Stefano</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SwePub Articles full text</collection><jtitle>Diabetes research and clinical practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schiaffini, Riccardo</au><au>Barbetti, Fabrizio</au><au>Rapini, Novella</au><au>Inzaghi, Elena</au><au>Deodati, Annalisa</au><au>Patera, Ippolita P.</au><au>Matteoli, Maria C.</au><au>Ciampalini, Paolo</au><au>Carducci, Chiara</au><au>Lorubbio, Antonella</au><au>Schiaffini, Gabriele</au><au>Cianfarani, Stefano</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>School and pre-school children with type 1 diabetes during Covid-19 quarantine: The synergic effect of parental care and technology</atitle><jtitle>Diabetes research and clinical practice</jtitle><addtitle>Diabetes Res Clin Pract</addtitle><date>2020-08-01</date><risdate>2020</risdate><volume>166</volume><spage>108302</spage><epage>108302</epage><pages>108302-108302</pages><artnum>108302</artnum><issn>0168-8227</issn><eissn>1872-8227</eissn><abstract>Management of Type 1 Diabetes (T1D) poses numerous challenges, especially for young children and their families. Parental care positively influencesthe outcomesofchildren with T1D, while there are often criticisms in school environment. The COVID-19 pandemic has forced children and parents to spend many hours at home and diabetes care has returned mainly in the hands of parents.
To evaluate the effectiveness of exclusive return to parental care in pre-school and school children with T1D treated with Tandem Basal IQ system during the COVID-19 pandemic.
22 children (M:F = 14:8) with T1D have been evaluated. We compared insulin and CGM data (TIR, TBR and TAR) of two periods: PRE-COV and IN-COV, in which children have transitioned from normal school attendance to the exclusive care of their parents.
During the IN-COV period a significantly (p < 0.001) higher median value of TIR (66,41%) was observed as compared to PRE-COV period (61,45%). Patients also showed a statistically significant difference (p < 0.002) between the IN-COV period and the PRE-COV period as concerning the TAR metric: respectively 29,86 ± 10,6% vs 34,73 ± 12,8%. The difference between the bolus insulin doses was statistically significant (PRE-COV 5,3 IU/day, IN-COV 7,9 IU/day – p < 0.05).
Our observational real-life study confirms the positive effect of parental care in T1D very young children and demonstrates that during the COVID-19 pandemic it was possible to obtain a good glycometabolic compensation despite the significant change in lifestyle.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>32623034</pmid><doi>10.1016/j.diabres.2020.108302</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Diabetes research and clinical practice, 2020-08, Vol.166, p.108302-108302, Article 108302 |
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| subjects | Adolescent Betacoronavirus - isolation & purification Child Child, Preschool Coronavirus Infections - complications Coronavirus Infections - epidemiology Coronavirus Infections - prevention & control Coronavirus Infections - virology COVID-19 Diabetes Mellitus, Type 1 - drug therapy Diabetes Mellitus, Type 1 - physiopathology Diabetes Mellitus, Type 1 - virology Female Humans Hypoglycemic Agents - therapeutic use Infant Infant, Newborn Insulin - therapeutic use Italy - epidemiology Male Pandemics - prevention & control Parents - psychology Pneumonia, Viral - complications Pneumonia, Viral - epidemiology Pneumonia, Viral - prevention & control Pneumonia, Viral - virology Prognosis Quarantine - methods Retrospective Studies SARS-CoV-2 |
| title | School and pre-school children with type 1 diabetes during Covid-19 quarantine: The synergic effect of parental care and technology |
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