Diabetes Care,
Год журнала:
2024,
Номер
48(Supplement_1), С. S283 - S305
Опубликована: Дек. 9, 2024
The
American
Diabetes
Association
(ADA)
“Standards
of
Care
in
Diabetes”
includes
the
ADA’s
current
clinical
practice
recommendations
and
is
intended
to
provide
components
diabetes
care,
general
treatment
goals
guidelines,
tools
evaluate
quality
care.
Members
ADA
Professional
Practice
Committee,
an
interprofessional
expert
committee,
are
responsible
for
updating
Standards
annually,
or
more
frequently
as
warranted.
For
a
detailed
description
standards,
statements,
reports,
well
evidence-grading
system
full
list
Committee
members,
please
refer
Introduction
Methodology.
Readers
who
wish
comment
on
invited
do
so
at
professional.diabetes.org/SOC.
Diabetes Care,
Год журнала:
2024,
Номер
47(5), С. 849 - 857
Опубликована: Фев. 27, 2024
OBJECTIVE
To
explore
24-h
postexercise
glycemia
and
hypoglycemia
risk,
data
from
the
Type
1
Diabetes
Exercise
Initiative
Pediatric
(T1DEXIP)
study
were
analyzed
to
examine
factors
that
may
influence
glycemia.
RESEARCH
DESIGN
AND
METHODS
This
was
a
real-world
observational
with
participant
self-reported
physical
activity,
food
intake,
insulin
dosing
(multiple
daily
injection
users).
Heart
rate,
continuous
glucose
data,
available
pump
collected.
RESULTS
A
total
of
251
adolescents
(42%
females),
mean
±
SD
age
14
2
years,
hemoglobin
A1c
(HbA1c)
7.1
1.3%
(54
14.2
mmol/mol),
recorded
3,319
activities
over
∼10
days.
Trends
for
lower
after
exercise
observed
in
those
shorter
disease
duration
HbA1c;
no
difference
by
delivery
modality
identified.
Larger
drops
during
associated
levels,
immediately
activity
(P
<
0.001)
12
<16
h
later
=
0.02).
Hypoglycemia
occurred
on
14%
nights
following
versus
12%
sedentary
On
exercise,
more
when
average
≥60
min/day
(17%
vs.
8%
nights,
P
0.01)
days
longer
individual
sessions.
Higher
nocturnal
rates
also
duration,
HbA1c,
conventional
use,
if
time
below
range
≥4%
previous
24
h.
CONCLUSIONS
In
this
large
pediatric
study,
higher
higher.
Characterizing
both
participant-
event-level
impact
recovery
period
support
development
new
guidelines,
decision
tools,
refine
algorithms
better
youth
diabetes.
Diabetes Technology & Therapeutics,
Год журнала:
2024,
Номер
26(10), С. 728 - 738
Опубликована: Апрель 26, 2024
To
predict
hypoglycemia
and
hyperglycemia
risk
during
after
activity
for
adolescents
with
type
1
diabetes
(T1D)
using
real-world
data
from
the
Type
Diabetes
Exercise
Initiative
Pediatric
(T1DEXIP)
study.
Diabetes Therapy,
Год журнала:
2025,
Номер
unknown
Опубликована: Фев. 28, 2025
For
decades,
glycaemic
variability
(GV)
was
ignored
in
clinical
practice
because
its
precise
assessment
challenging
and
there
were
no
specific
recommendations
to
reduce
it.
However,
the
current
widespread
use
of
continuous
glucose
monitoring
(CGM)
systems
has
changed
this
situation.
Associations
between
high
GV
risk
hypoglycaemia,
onset
macro-
microvascular
complications
mortality
have
been
described
type
1
diabetes
(T1D).
It
is
therefore
important
identify
causes
excessive
excursions
make
for
people
with
T1D
achieve
better
management
by
minimising
both
short
term
long
term.
To
these
aims,
a
panel
comprising
four
endocrinologists,
one
nurse
educator
nutritionist
worked
together
reach
consensus
on
detection
triggers
propose
guidelines
improve
reducing
hypoglycaemias.
In
total,
different
areas
interest
identified,
which
insufficient
education
and/or
training
could
lead
higher
GV:
physical
activity;
dietary
habits;
insulin
therapy,
especially
when
pump-based
are
not
used;
other
increase.
Practical,
easy-to-follow
daily
activities
then
issued,
aim
enabling
either
hypoglycaemia
or
hyperglycaemia
episodes.
By
doing
this,
their
quality
life
may
be
improved,
progression
chronic
prevented
delayed.
Journal of Medical Internet Research,
Год журнала:
2025,
Номер
27, С. e65710 - e65710
Опубликована: Апрель 30, 2025
Background
Ecological
momentary
assessment
(EMA)
is
pivotal
in
longitudinal
health
research
youth,
but
potential
bias
associated
with
nonparticipation,
omitted
reports,
or
dropout
threatens
its
clinical
validity.
Previous
meta-analytic
evidence
inconsistent
regarding
specific
determinants
of
missing
data.
Objective
This
meta-analysis
aimed
to
update
and
expand
upon
previous
by
examining
key
participation
metrics—acceptance,
compliance,
retention—in
youth
EMA
studies.
In
addition,
it
sought
identify
moderators
among
sample
design
characteristics,
the
goal
better
understanding
mitigating
impact
Methods
We
used
a
bibliographic
database
search
studies
involving
children
adolescents
published
from
2001
November
2023.
Eligible
mobile-delivered
protocols
samples
an
average
age
up
18
years.
conducted
separate
meta-analyses
for
acceptance,
retention
rates,
performed
meta-regressions
address
characteristics.
Furthermore,
we
extracted
pooled
sample-level
effect
sizes
related
correlates
response
compliance.
Risk
publication
was
assessed
using
funnel
plots,
regression
tests,
sensitivity
analyses
targeting
inflated
compliance
rates.
Results
identified
285
samples,
including
17,441
participants
aged
5
17.96
years
(mean
14.22,
SD
2.24
years;
mean
percentage
female
55.7%).
Pooled
estimates
were
67.27%
(k=88,
95%
CI
62.39-71.96)
71.97%
(k=216,
69.83-74.11)
96.57%
(k=169,
95.42-97.56)
retention.
Despite
overall
poor
moderation
metrics,
acceptance
rates
decreased
as
number
items
increased
(log-transformed
b=−0.115,
SE
0.036;
−0.185
−0.045;
P=.001;
R2=19.98),
declined
0.8%
per
year
(SE
0.25,
−1.3
−0.3;
P=.002;
R2=4.17),
dropped
increasing
study
duration
b=−0.061,
0.015;
−0.091
0.032;
P<.001;
R2=10.06).
The
benefits
monetary
incentives
on
diminished
proportion
(b=−0.002,
0.001;
−0.003
−0.001;
P=.003;
R2=9.47).
Within-sample
showed
small
significant
indicating
higher
girls
compared
boys
(k=25;
g=0.18;
0.06-0.31;
P=.003),
no
age-related
effects
found
(k=14;
z
score=0.05;
−0.01
0.16).
Conclusions
5-fold
increase
included
initial
review,
variability
data
that
one
can
expect
based
characteristics
remains
substantial.
inconsistency
identifying
robust
highlights
need
greater
attention
results.
To
eradicate
any
health-related
studies,
researchers
should
collectively
transparent
reporting
practices,
intensify
primary
methodological
research,
involve
participants’
perspectives
Trial
Registration
PROSPERO
CRD42022376948;
https://www.crd.york.ac.uk/PROSPERO/view/CRD42022376948
