Caregiver Reports of Provider Recommended Frequency of Blood Glucose Monitoring and Actual Testing Frequency for Youth with Type 1 Diabetes

Details

• Alternative Title:
  Diabetes Res Clin Pract
• Personal Author:
  Yi-Frazier, Joyce P. ; Hood, Korey ; Case, Doug ; Waitzfelder, Beth ; Anderson, Andrea ; Bloch, Clifford A. ; Naughton, Michelle ; Seid, Michael ; Imperatore, Giuseppina ; Loots, Beth ; Bell, Ronny ; Lawrence, Jean M.
• Description:
  Aims
  
  To identify demographic, family and clinical characteristics associated with provider recommended frequency of blood glucose monitoring (BGM), actual frequency of BGM, and concordance between these categories in youth with type 1 diabetes (T1D) as reported by child’s caregiver.
  
  Methods
  
  Caregivers of 390 children 10–17 years were interviewed about their children’s providers’ recommendations for frequency of BGM and their child’s frequency of performance of BGM.
  
  Results
  
  The majority (92%) of caregivers reported being told that their child should BGM ≥4 times per day and 78% reported their child checked that frequently. Caregivers of children who were younger, non-Hispanic White, from two-parent households, higher income households, and on insulin pumps were more likely to report being told by their provider to perform BGM ≥6 times per day and more likely to report that their child performed BGM ≥6 times per day. Younger children and those with private health insurance were more likely to adhere to reported recommendations. Children whose caregivers reported that their child met/exceeded their provider recommendations had lower A1c values than those who did not.
  
  Conclusions
  
  These findings may help clinicians identify subgroups of youth at-risk for poor diabetes management and provide further education in order to improve outcomes.
  
  
• Subjects:
  Adolescent Blood Glucose Blood Glucose Self-Monitoring Caregivers Child Diabetes Mellitus, Type 1 Female Humans Male Patient Compliance
• Source:
  Diabetes Res Clin Pract. 95(1):68-75.
• Pubmed ID:
  21940061
• Pubmed Central ID:
  PMC4519093
• Document Type:
  Journal Article
• Funding:
  1U18DP002709/DP/NCCDPHP CDC HHS/United States ; 1UL1RR026314-01/RR/NCRR NIH HHS/United States ; DP-05-069/DP/NCCDPHP CDC HHS/United States ; DP-10-001/DP/NCCDPHP CDC HHS/United States ; M01 RR00069/RR/NCRR NIH HHS/United States ; M01RR00037/RR/NCRR NIH HHS/United States ; P30 DK57516/DK/NIDDK NIH HHS/United States ; U01 DP000244/DP/NCCDPHP CDC HHS/United States ; U01 DP000245/DP/NCCDPHP CDC HHS/United States ; U01 DP000246/DP/NCCDPHP CDC HHS/United States ; U01 DP000247/DP/NCCDPHP CDC HHS/United States ; U01 DP000248/DP/NCCDPHP CDC HHS/United States ; U01 DP000250/DP/NCCDPHP CDC HHS/United States ; U01 DP000254/DP/NCCDPHP CDC HHS/United States ; U18DP000247-06A1/DP/NCCDPHP CDC HHS/United States ; U18DP002708-01/DP/NCCDPHP CDC HHS/United States ; U18DP002710-01/DP/NCCDPHP CDC HHS/United States ; U18DP002714/DP/NCCDPHP CDC HHS/United States ; U48/CCU419249/PHS HHS/United States ; U48/CCU519239/PHS HHS/United States ; U48/CCU819241-3/PHS HHS/United States ; U48/CCU919219/PHS HHS/United States ; U58/CCU019235-4/PHS HHS/United States ; U58CCU919256/PHS HHS/United States ; UL1 RR026314/RR/NCRR NIH HHS/United States ; UL1 RR029882/RR/NCRR NIH HHS/United States ; UL1RR029882/RR/NCRR NIH HHS/United States
• Volume:
  95
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:261ea0cd85c6d594c381b6b9881b355b3a842be4894541d2400f1707add7b41f
• Download URL:
  https://stacks.cdc.gov/view/cdc/33836/cdc_33836_DS1.pdf
• File Type:
  [PDF - 238.01 KB ]