Diabetes Awareness Campaigns to Prevent Ketoacidosis at the Diagnosis of Type 1 Diabetes: Efficacy on Multiple Outcomes and Predictors of Success: A Systematic Review DOI Open Access

Elisa Minerba,

Evelina Maines,

Nora B. Quaglia

et al.

Journal of Personalized Medicine, Journal Year: 2024, Volume and Issue: 14(12), P. 1115 - 1115

Published: Nov. 21, 2024

Background/Objectives: In Italy, the incidence of diabetic ketoacidosis (DKA) at diagnosis type 1 diabetes (T1D) is still very high (35.7–39.6%), especially in youths. We aimed to determine efficacy awareness campaigns prevent DKA on multiple outcomes and identify success predictors. Methods: searched electronic databases (Pubmed, Cochrane, Web Science) for studies published between August 1990 2024. The review included that focused children under 18 years old, were measured by comparing before after implementing same area areas where interventions took place or not. Results: Of 236 records identified, 15 eligible analysis. After campaign implementation, pooled reduction resulted 1% 65.5%, based characteristics campaigns. A decrease rate acute complications, such as cerebral edema, was reported. Hemoglobin A1c (HbA1c) onset showed a mean 0.7–5.1%; C-peptide increased patients without diagnosis, length hospitalization decreased. Campaign costs lower than treating subjects with DKA. Conclusions: This demonstrated effectively reduce improve other parameters, HbA1c levels, hospitalization, costs, among youths T1D. To be effective, must follow specific principles target population, modality, minimal duration, reported this review.

Language: Английский

Diabetes Awareness Campaigns to Prevent Ketoacidosis at the Diagnosis of Type 1 Diabetes: Efficacy on Multiple Outcomes and Predictors of Success: A Systematic Review DOI Open Access

Elisa Minerba,

Evelina Maines,

Nora B. Quaglia

et al.

Journal of Personalized Medicine, Journal Year: 2024, Volume and Issue: 14(12), P. 1115 - 1115

Published: Nov. 21, 2024

Background/Objectives: In Italy, the incidence of diabetic ketoacidosis (DKA) at diagnosis type 1 diabetes (T1D) is still very high (35.7–39.6%), especially in youths. We aimed to determine efficacy awareness campaigns prevent DKA on multiple outcomes and identify success predictors. Methods: searched electronic databases (Pubmed, Cochrane, Web Science) for studies published between August 1990 2024. The review included that focused children under 18 years old, were measured by comparing before after implementing same area areas where interventions took place or not. Results: Of 236 records identified, 15 eligible analysis. After campaign implementation, pooled reduction resulted 1% 65.5%, based characteristics campaigns. A decrease rate acute complications, such as cerebral edema, was reported. Hemoglobin A1c (HbA1c) onset showed a mean 0.7–5.1%; C-peptide increased patients without diagnosis, length hospitalization decreased. Campaign costs lower than treating subjects with DKA. Conclusions: This demonstrated effectively reduce improve other parameters, HbA1c levels, hospitalization, costs, among youths T1D. To be effective, must follow specific principles target population, modality, minimal duration, reported this review.

Language: Английский

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