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Follow of children and youth people with type 1 diabetes after five years of participation in a self‐care program in Hermosillo, Mexico
Author(s) -
Flores Perla Esmeralda Landeros,
Gloria Elena Portillo A.,
Alma Delia Contreras P.,
Elizabeth Esmeralda Artalejo O.,
Martha Nydia Ballesteros V.,
Josefina Krimpe R.,
María Isabel Ortega V.
Publication year - 2016
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.30.1_supplement.674.16
Subject(s) - glycated hemoglobin , medicine , socioeconomic status , type 2 diabetes , gerontology , metabolic control analysis , diabetes mellitus , quality of life (healthcare) , family medicine , pediatrics , environmental health , nursing , population , endocrinology
One of the main challenges of educational programs aimed to improve diabetes care is program impact in the long term. In northern México, two diabetes care programs based on Social Cognitive Theory (SCT), showed an improvement in metabolic control (HbA1c values according to recommendations of ADA by age group1), quality of life, and physical activity of children and adolescents with Type 1 diabetes, nine months after the intervention2. Objective To evaluate long term evolution of diabetes care among children and youth after 5 years of an educational program based on SCT. Methods Forty two children and youth people that participated in our previous diabetes care program were invited to a follow up study. We measured participants’ glycated hemoglobin (HbA1c) as the main indicator of diabetes metabolic control. We conducted a structured interviewed to evaluate quality of life, physical activity, and nutritional status of participants, as well as barriers and facilitators of diabetes care using qualitative inquiry. Results Nineteen children and youth completed the study; Mean age of participants was 17.5 ± 4.0 years. Eighty percent of them belonged to families with median socioeconomic level (SL) and 11% to a high SL. Mean HBA1c was 10.2±2.2, higher than that reported in baseline studies. Younger participants (less than 13 years of age) had better metabolic control (mean HBA1c of 6.05 ± 0.63). Qualitative analysis showed that community and family food environments, the type of medical care, and economic limitations, were the main barriers to an adequate metabolic control of diabetes. Conclusion Adequate diabetes care remains a challenge among Mexican children and youth, and it is related to economic and social cost of disease, as well as a non‐integral medical care Support or Funding Information