Evaluation of the Factors Influencing Diabetic Control among Adolescents with Type 1 Diabetes

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PIRDEHGHAN AZAR; RAZAVI ZAHRA; RAJABI RAZIEH

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Journal: Avicenna Journal of Clinical Medicine Year:2020 | Volume:26 | Issue:4 (SN 94) Page(s): 227-233

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Title

Evaluation of the Factors Influencing Diabetic Control among Adolescents with Type 1 Diabetes

Author(s)

PIRDEHGHAN AZAR | RAZAVI ZAHRA | RAJABI RAZIEH | Issue Writer Certificate

Keywords

AdolescentsQ1

Diabetes Mellitus Type1Q3

EtiologyQ2

Hemoglobin A GlycosylatedQ1

Abstract

Background and Objective: Type 1 diabetes is the most common metabolic and chronic disease in children and Adolescents. This study aimed to evaluate the factors influencing diabetic control among Adolescents with Type 1 diabetes. Materials and Methods: This cross-sectional descriptive study was conducted on 205 patients aged 11-19 years with type 1 diabetes who referred to Endocrine Clinic of Besat Hospital, Hamadan, Iran, in 2019. The participants were selected based on a census sampling method and investigated in terms of factors affecting diabetic control. The data were analyzed in SPSS software (version 16). A p-value less than 0. 05 was considered statistically significant. Results: The mean age of the patients was 13. 96± 3. 17 years, and 58% of the participants were female. Moreover, the mean values of diabetes duration and Hemoglobin A1c (HbA1c) were estimated at 5. 71± 3. 16 years and 8. 89± 1. 84%, respectively. Regarding treatment adherence, 35. 2% of the patients had poor adherence. The prevalence rate of depression, anxiety, and stress were 51. 2%, 72. 2%, and 13. 2% in patients, respectively. Poorly controlled diabetes based on HbA1c correlated significantly with father's unemployment status and poor family support. Furthermore, the status of diabetes control based on HbA1c level had a significant correlation with the scores of stress, anxiety, and depression. However, there was a negative and significant relationship between the status of diabetes control and the number of annual referrals to the clinic. Conclusion: This study showed that anxiety, depression, and stress led to poor control in patients with type 1 diabetes. On the other hand, increased income and family support, as well as frequent visits to the clinic improved diabetic control.

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APA: Copy

PIRDEHGHAN, AZAR, RAZAVI, ZAHRA, & RAJABI, RAZIEH. (2020). Evaluation of the Factors Influencing Diabetic Control among Adolescents with Type 1 Diabetes. AVICENNA JOURNAL OF CLINICAL MEDICINE (SCIENTIFIC JOURNAL OF HAMADAN UNIVERSITY OF MEDICAL SCIENCES AND HEALTH SERVICES), 26(4 (SN 94) ), 227-233. SID. https://sid.ir/paper/400027/en

Vancouver: Copy

PIRDEHGHAN AZAR, RAZAVI ZAHRA, RAJABI RAZIEH. Evaluation of the Factors Influencing Diabetic Control among Adolescents with Type 1 Diabetes. AVICENNA JOURNAL OF CLINICAL MEDICINE (SCIENTIFIC JOURNAL OF HAMADAN UNIVERSITY OF MEDICAL SCIENCES AND HEALTH SERVICES)[Internet]. 2020;26(4 (SN 94) ):227-233. Available from: https://sid.ir/paper/400027/en

IEEE: Copy

AZAR PIRDEHGHAN, ZAHRA RAZAVI, and RAZIEH RAJABI, “Evaluation of the Factors Influencing Diabetic Control among Adolescents with Type 1 Diabetes,” AVICENNA JOURNAL OF CLINICAL MEDICINE (SCIENTIFIC JOURNAL OF HAMADAN UNIVERSITY OF MEDICAL SCIENCES AND HEALTH SERVICES), vol. 26, no. 4 (SN 94) , pp. 227–233, 2020, [Online]. Available: https://sid.ir/paper/400027/en

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