Cambridge Hybrid Closed-Loop System in Very Young Children With Type 1 Diabetes Reduces Caregivers’ Fear of Hypoglycemia and Improves Their Well-being
Carine de Beaufort,Ulrike Schierloh,Ajay Thankamony,Julia Ware,Malgorzata E. Wilinska,Elke Fröhlich-Reiterer,Thomas Kapellen,Birgit Rami-Merhar,Sabine E. Hofer,Fiona Campbell,James Yong,Laura E. Bocchino,Judy Sibayan,Julia Lawton,Stéphane Roze,Maria Fritsch,Alena Gerlinde Thiele,Janet M. Allen,Charlotte K. Boughton,Julia K. Mader,Craig Kollman,Roman Hovorka,Ineke Pit-Ten Cate +22 more
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TLDR
Better well-being and less hypoglycemia fear in caregivers of very young children with T1D on CamAPS FX HCL is suggested.Abstract:
OBJECTIVE To evaluate the impact of CamAPS FX hybrid closed-loop (HCL) automated insulin delivery in very young children with type 1 diabetes (T1D) on caregivers’ well-being, fear of hypoglycemia, and sleepiness. RESEARCH DESIGN AND METHODS We conducted a multinational, open-label, randomized crossover study. Children (age 1–7 years) with T1D received treatment for two 4-month periods in random order, comparing HCL with sensor augmented pump (control). At baseline and after each treatment period, caregivers were invited to complete World Health Organization–Five Well-Being Index, Hypoglycemia Fear Survey, and Epworth Sleepiness Scale questionnaires. RESULTS Caregivers of 74 children (mean ± SD age 5 ± 2 years and baseline HbA1c 7.3 ± 0.7%; 42% female) participated. Results revealed significantly lower scores for hypoglycemia fear (P < 0.001) and higher scores for well-being (P < 0.001) after HCL treatment. A trend toward a reduction in sleepiness score was observed (P = 0.09). CONCLUSIONS Our results suggest better well-being and less hypoglycemia fear in caregivers of very young children with T1D on CamAPS FX HCL.read more
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ISPAD Clinical Practice Consensus Guidelines 2022: Managing diabetes in preschoolers
Frida Sundberg,Carine E. deBeaufort,Lars Krogvold,Susana R. Patton,Thereza Piloya,Carmel E. Smart,Michelle A. Van Name,Jill Weissberg-Benchell,Jose Silva,Linda A. DiMeglio +9 more
TL;DR: The Queen Silvia Childrens Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden Department of Pediatrics and the Swedish National Institute of Paediatric Endocrinology and Diabetes, University of Newcastle, New South Wales, Australia Yale School of Medicine, New Haven, Connecticut, USA Department of Psychiatry and Behavioral Sciences, Ann & Robert H. Lurie Children's Hospital of Chicago, Feinberg Schoolof Medicine, Northwestern University, Chicago, Illinois, USA SummitStone Health Partners, Fort Collins, Colorado, USA Riley Hospital for Children, Indiana University School of medicine, Indianapolis, Indiana, USA
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Hybrid Closed-Loop Control in Young Children with Type 1 Diabetes.
Ningchen Hsu,Chia Hao Hsu +1 more
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Fear of hypoglycaemia among insulin-treated patients with type 2 diabetes mellitus: a cross-sectional study
TL;DR: Wang et al. as discussed by the authors analyzed the occurrence and influencing factors of fear of hypoglycemia in type 2 diabetes mellitus treated with insulin, and the results of multiple linear regression analysis show that the regression equation is significant, F=13.05.
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Araz Rawshani,Naveed Sattar,Stefan Franzén,Aidin Rawshani,Andrew T. Hattersley,Ann-Marie Svensson,Björn Eliasson,Soffia Gudbjörnsdottir +7 more
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Nighttime is the worst time: Parental fear of hypoglycemia in young children with type 1 diabetes.
Michelle A. Van Name,Marisa E. Hilliard,Claire T. Boyle,Kellee M. Miller,Daniel J. DeSalvo,Barbara J. Anderson,Lori M.B. Laffel,Stephanie E. Woerner,Linda A. DiMeglio,William V. Tamborlane +9 more
TL;DR: In this article, the worry scale of the Hypoglycemia Fear Survey modified for parents (HFS-P) was used to measure the level of concern parents have with hypocemia in young children with Type 1 diabetes.