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Knowledge of carbohydrate counting and insulin dose calculations in paediatric patients with type 1 diabetes mellitus

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dc.contributor.author Finner, Natalie
dc.contributor.author Quinn, Anne
dc.contributor.author Donovan, Anna
dc.contributor.author O'Leary, Orla
dc.contributor.author O'Gorman, Clodagh S.
dc.date.accessioned 2017-11-16T15:12:47Z
dc.date.available 2017-11-16T15:12:47Z
dc.date.issued 2015
dc.identifier.uri http://hdl.handle.net/10344/6267
dc.description peer-reviewed en_US
dc.description.abstract Background: Patientswith type 1 diabetesmellitus (T1DM)who are able to adjust their insulin doses according to the carbohydrate content of ameal, as well as their blood glucose, are likely to have improved glycaemic control (Silverstein et al., 2005). With improved glycaemic control, patients have a lower risk of developing long-term microvascular complications associated with T1DM (Diabetes Control and Complications Trial Research Group,1993). To assess the carbohydrate and insulin knowledge of patients attending our paediatric diabetes clinic at the University Hospital Limerick (UHL), the validated PedCarbQuiz (PCQ) was applied to our clinic population. Methods: This study was completed by applying a questionnaire called the PedCarbQuiz (PCQ) to children exclusively attending our paediatric diabetes clinic at UHL. Of the clinic's 220 patients, 81 participated in the study. Results: The average total PCQ score (%) was higher in the continuous subcutaneous insulin infusion (CSII) group compared with the multiple daily insulin (MDI) injection user group (79.1±12.1 versus 65.9±6.6 p=0.005). The CSII group also had a higher average carbohydrate score (%) compared with the MDI group (79.4 ± 12.4 versus 66.3 ± 16.2, p = 0.004). Conclusions: This study demonstrates that in a representative Irish regional paediatric T1DMclinic, knowledge of carbohydrates and insulin is better among patients treated with CSII compared with MDI. However, knowledge in both groups is poorer than in the original US sample. General significance: This study demonstrates that in a representative Irish regional paediatric T1DM clinic, knowledge of carbohydrates and insulin is poorer than in a US based sample, although this knowledge is better among patients treated with CSII compared with MDI. This highlights the need for improved resources for diabetes and carbohydrate counting education for patients with T1DM. en_US
dc.language.iso eng en_US
dc.publisher Elsevier en_US
dc.relation.ispartofseries BBA Clinical;4, pp. 99-101
dc.relation.uri http://dx.doi.org/10.1016/j.bbacli.2015.09.002
dc.subject carbohydrate counting en_US
dc.subject type 1 diabetes mellitus en_US
dc.subject multidisciplinary education en_US
dc.title Knowledge of carbohydrate counting and insulin dose calculations in paediatric patients with type 1 diabetes mellitus en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.1016/j.bbacli.2015.09.002
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US
dc.internal.rssid 1622646


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