ESPE Abstracts (2015) 84 P-2-283

Variables in Diabetic Children and Adolescents Associated with High, Acceptable and Low Range of Glycosylated Haemoglobin in a DGH Setting - An Analysis

Karthi Manoharan, Rachel Thomas & Sharon Lim

Broomfield Hospital, Chelmsford, UK

Background: Diabetes education empowers children and adolescents with diabetes to acquire practical skills in problem-solving and goal-setting to improve self sufficiency. Our aim was to identify variables that have an the impact on diabetes control in terms of psychosocial wellbeing and glycosylated haemoglobin (HbA1c).

Objectives and hypotheses: To compare the level of understanding & knowledge of diabetes between three groups of diabetic children. To explore psychosocial variables that distinguish the three groups.

Method: Retrospective analysis of HbA1c and the variables in the patient’s diabetes education assessment questionnaire (adapted from the East of England Paediatric Diabetic Network guidelines) over a 1 year period from September 2013 and August 2014. 30 children were randomly chosen in each group. High HbA1c group (group A): range 9–14%, mean 9.6%. Acceptable HbA1c group (group B): range 5.7–8.8, mean 7.4%. HbA1c <7.5% (group C): range 5.7–7.4%, mean 7.2%.

Results: General knowledge about diabetes, injection rotation, hypoglycaemia and hyperglycaemia was 10–15% greater in group C than other two groups. Group C’s knowledge on exercise was at least two times > the other groups. Group C also had good understanding of diabetes. Knowledge about HbA1c was greatest (73%) and blood glucose monitoring (66%) in group B. In spite of a good overall knowledge, group B topped group C in psycho social adjustment in terms of accepting the diagnosis better, involving friends in their care and being happy (40%). Knowledge about complications was similar in all age groups (13%).

Conclusion: The children in group C appear to have good diabetes control secondary to being empowered by general knowledge about diabetes, hypo and hyperglycaemia. An important factor in good diabetes control is exercise. Group A contains children who are at the age where they are more likely to have knowledge about alcohol, a confounding variable. The role of psychosocial variables appear to be important in group B despite acceptable HbA1c levels.

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