Alassaf Abeer, Gharaibeh Lobna, Ibrahim Sarah, Alkhalaileh Shatha, Odeh Rasha
Department of Pediatrics, The University of Jordan, Amman, Jordan.
Pharmacological and Diagnostic Research Center, Faculty of Pharmacy, Al-Ahliyya Amman University, Amman, Jordan.
Pediatr Diabetes. 2023 Apr 28;2023:7258136. doi: 10.1155/2023/7258136. eCollection 2023.
This is a retrospective medical chart review study at Jordan University Hospital. The glycemic control of children who were diagnosed with T1D and included in the SEP between June 2017 and December 2019, was compared with those who were exposed to the conventional diabetes education, between January 2014 and December 2016. Various factors were assessed for the possible effects on the SEP outcomes.
The average age at diagnosis for the 112 persons with diabetes (PwD) included in the dietary SEP was 8.30 ± 3.87 years. Glycated hemoglobin was lower in children in the SEP group at 6 months ( value = 0.001) and 12 months (=0.032) but not at 24 months (=0.290). SEP had better effect on patients older than 5 years. The possible predictors of glycemic control for the SEP group at 12 months included the mother's educational level and the number of hospital admissions due to DKA and hyperglycemia during the first year after diagnosis.
Our dietary SEP was associated with better glycemic control than conventional diabetes education, at 6 and 12 months after diagnosis. It had a positive effect, mainly in PwD patients who are older than 5 years and had higher maternal educational level.
这是一项在约旦大学医院进行的回顾性医学图表审查研究。将2017年6月至2019年12月期间被诊断为1型糖尿病并纳入特殊饮食教育计划（SEP）的儿童的血糖控制情况，与2014年1月至2016年12月期间接受传统糖尿病教育的儿童进行比较。评估了各种因素对SEP结果的可能影响。
纳入饮食SEP的112名糖尿病患者（PwD）的平均诊断年龄为8.30±3.87岁。SEP组儿童在6个月时糖化血红蛋白较低（P值=0.001），12个月时也较低（P=0.032），但24个月时无差异（P=0.290）。SEP对5岁以上患者效果更好。SEP组12个月时血糖控制的可能预测因素包括母亲的教育水平以及诊断后第一年因糖尿病酮症酸中毒（DKA）和高血糖症住院的次数。
我们的饮食SEP与传统糖尿病教育相比，在诊断后6个月和12个月时血糖控制更好。它具有积极作用，主要体现在5岁以上且母亲教育水平较高的PwD患者中。
