Universität zu Köln

Konrad, K., Vogel, C., Bollow, E., Fritsch, M., Lange, K., Bartus, B. and Holl, R. W. (2016). Current practice of diabetes education in children and adolescents with type 1 diabetes in Germany and Austria: analysis based on the German/Austrian DPV database. Pediatr. Diabetes, 17 (7). S. 483 - 492. HOBOKEN: WILEY. ISSN 1399-5448

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Abstract

Background: Diabetes education of patients and/or parents is an essential part of diabetes care with effects on diabetes outcome. The objective of our study was to describe the current practice of diabetes education in Germany and Austria with regard to training frequency, patient age, migration background and diabetes therapy in a large cohort of pediatric patients with diabetes mellitus type 1 (T1DM). Methods: We analyzed data from pediatric T1DM patients with diabetes training in 2013 and complete data available for treatment year in the multicenter Diabetes Patienten Verlaufsdokumentation (DPV) registry using sas 9.4. Results: In 2013 21 871 pediatric patients with T1DM were documented [52.4% male, age: 12.70 (9.35-15.30) yr (median (interquartile range)], diabetes duration: 3.80 (1.45-7.00) yr, migration background: 21.4%, twice daily injections: 5.5%, multiple daily injections: 52.5%, insulin-pump therapy: 42%. Of these 32.31% were trained in 2013. Younger patients and their parents were trained more intensely and more frequently as inpatients compared with older patients (0-6 vs. 6-12 and 12-18 yr: teaching units: 13.07 vs. 12.05 and 9.79; inpatient: 79% vs. 72% and 70%). There was also a difference in training frequency with regard to migration background. Severe hypoglycemia or ketoacidosis resulted in intensification of training (4.0 vs. 2.0%; 7.8 vs. 3.1%). Centre-specific education tools were used frequently alone or in combination with published, standardized education programs. Conclusion: Training frequency was highest in younger patients and during the first year of diabetes. Acute complications resulted in more frequent diabetes training, indicating that currently many education sessions take place in consequence to these complications.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Konrad, K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Vogel, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bollow, E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Fritsch, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Lange, K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bartus, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Holl, R. W. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-256889
DOI:	10.1111/pedi.12330
Journal or Publication Title:	Pediatr. Diabetes
Volume:	17
Number:	7
Page Range:	S. 483 - 492
Date:	2016
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	1399-5448
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language METABOLIC-CONTROL; HYPOGLYCEMIA; COMPLICATIONS; MANAGEMENT; ADULTS Multiple languages Endocrinology & Metabolism; Pediatrics Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/25688