Background: Diabetes is the third commonest chronic disease of childhood. When a child or an adolescent is diagnosed with type 1 diabetes (T1D), adaptation to a new life is usually a challenge for the whole family. There are specific challenges posed by T1D on the affected children, and their families, at different developmental age groups. The correlation between HbA1c and age specific psychological challenges, to our knowledge, has not been previously explored in the Middle East.
Objective/hypotheses: To assess the correlation between childrens HbA1c and the psychological impact of T1D on affected Saudi children and their parents at King Khalid University hospital, Riyadh, Saudi Arabia. Also to explore any variation, between children and their parents and between the children at different age groups, in the psychological impact scores of different aspects of T1D.
Method: In this cross sectional study, the psychological impact of T1D on children and their parents was assessed using a standard quality of life diabetes specific questionnaire for children (PedQoL DM V3.0 Arabic translation). The total and individual impact scores of different domains in the questionnaire were calculated from childrens and parents responses. Data were statistically analysed using Pearsons correlation, ANOVA and t-2 tests.
Results: There were significant variations in the mean HbA1c between different age groups. Though statistically not significant, the HbA1c showed more of negative correlations with the psychological impact scores of parents compared to very poor correlations with childrens scores. There were variations, but not statistically significant, in the correlations of HbA1c with parents and childrens impact scores of individual domains at different age groups.
Conclusion: Identifying age specific challenges in children with T1D may help focusing on relevant areas of concern in their management. Larger studies may be required to better highlight the relationship of these challenges with HbA1c in affected Saudi children.
20 - 22 Sep 2014
European Society for Paediatric Endocrinology