Jarosz-Chobot P, Guthrie D W, Otto-Buczkowska E, Koehler B
Department of Pediatric Endocrinology & Diabetes, Silesian Medical University, ul. Medyków 16, 40-752 Katowice, Poland.
Med Sci Monit. 2000 Jan-Feb;6(1):129-32.
To determine whether young diabetics follow the most important rules of diabetes educational programs as remembering to carry 'soluble sugars' and insulin shots in their daily life, the analysis using 263 simple and anonymous questionnaires was performed. The study involved 183 IDDM children from Kansas-USA (76 boys, 107 girls) and 80 IDDM children from Silesia, Poland (36 boys, 44 girls) of mean age 12.95 +/- 2.65, mean IDDM duration 4.77 +/- 3.15 years, mean HbA1c 8.53 +/- 1.93%. We found: (1) 79.85% of all IDDM children carry something to treat or prevent hypoglycemia, more girls than boys, and more American than Polish ones (p < 0.01). (2) Only 59.92% of IDDM children carry 'soluble sugars' (no statistically significant differences between sexes and nationalities). (3) No correlation between carrying 'sugars' and age, metabolic control, number of glycemia measurements, forgetting insulin injections and kind of insulin therapy. (4) Duration of diabetes was not correlated with carrying 'sugars' whereas it was correlated with carrying 'other food' (p < 0.05). (5) 53.4% of children never forget insulin injections (p < 0.01). (6) Forgetting insulin shots was correlated with IDDM duration in boys group, with increasing level of HbA1c and with smaller number of glycemia measurements in all children groups, with the intensive insulin therapy in girls and Polish groups (p < 0.01 in all cases).
1). Diabetic children quite often carry nothing or 'non-soluble sugars' with themselves to treat hypoglycemia. 2). Diabetic children more often forget to shoot insulin injections than to 'carry sugars'. 3). Children with a longer duration of diabetes more often forget their insulin injections. 4). Older girls with longer duration of IDDM demonstrating worse metabolic control check their glycemia less frequently and more often forget the insulin injections.
为了确定年轻糖尿病患者是否遵循糖尿病教育项目的最重要规则，即记住在日常生活中携带“可溶性糖”和胰岛素注射剂，我们使用263份简单且匿名的问卷进行了分析。该研究涉及来自美国堪萨斯州的183名1型糖尿病儿童（76名男孩，107名女孩）和来自波兰西里西亚的80名1型糖尿病儿童（36名男孩，44名女孩），平均年龄为12.95 +/- 2.65岁，平均1型糖尿病病程为4.77 +/- 3.15年，平均糖化血红蛋白为8.53 +/- 1.93%。我们发现：（1）所有1型糖尿病儿童中有79.85%会携带治疗或预防低血糖的物品，女孩比男孩多，美国儿童比波兰儿童多（p < 0.01）。（2）只有59.92%的1型糖尿病儿童携带“可溶性糖”（性别和国籍之间无统计学显著差异）。（3）携带“糖”与年龄、代谢控制、血糖测量次数、忘记胰岛素注射以及胰岛素治疗类型之间无相关性。（4）糖尿病病程与携带“糖”无相关性，而与携带“其他食物”相关（p < 0.05）。（5）53.4%的儿童从不忘记胰岛素注射（p < 0.01）。（6）忘记胰岛素注射在男孩组与1型糖尿病病程相关，在所有儿童组中与糖化血红蛋白水平升高以及血糖测量次数减少相关，在女孩和波兰组中与强化胰岛素治疗相关（所有情况p < 0.01）。
1）糖尿病儿童经常不携带任何物品或携带“非可溶性糖”来治疗低血糖。2）糖尿病儿童忘记胰岛素注射比“携带糖”更常见。3）糖尿病病程较长的儿童更常忘记胰岛素注射。4）1型糖尿病病程较长、代谢控制较差的年长女孩血糖检查频率较低，且更常忘记胰岛素注射。
