Impact of the Balanced School Day on Glycemic Control in Children with Type 1 Diabetes.

Abstract:

OBJECTIVE:The balanced school day (BSD) is an alternative elementary school schedule whereby children have 2 20-minute eating periods instead of 1 20-minute lunch, as is found in the traditional schedule (TS). We assessed the glycated hemoglobin (A1C) levels of children with type 1 diabetes in the TS vs. the BSD because 2 eating periods have the potential to impact blood glucose control. METHODS:A1C levels representative of the summer months (SumA1C) and A1C levels occurring at least 3 months after the start of the school year (SchA1C) were obtained retrospectively. A parental survey of perceptions of lunch planning, activity levels and diabetes management at school was also completed. RESULTS:Our sample included 97 students (TS=42, BSD=55). The mean age ± SD was 10.9±2.6 and 10.1±2.8 years in the TS and BSD, respectively (p=0.12). Sex distribution was not statistically different; 54% were female in TS vs. 36% in BSD; p=0.08. SumA1C was similar in the 2 groups (TS: 8.3±1.1% vs. BSD: 8.0±0.8%; p=0.08). There was a significant within-group increase from SumA1C to SchA1C in the BSD group only (p=0.001), with mean A1C values increasing from 8.0%±0.8% to 8.5%±1.0% in the BSD group compared to no significant increase in the TS group. Parental perceptions of lunch planning, physical activity and diabetes management were similar, regardless of school schedule. CONCLUSIONS:Children with type 1 diabetes in the BSD appear to have worse diabetes control during the school year compared to the summer, which is not evident in children in the TS. Additional school supports may assist students in the BSD.

journal_name

Can J Diabetes

authors

Stein RI,Doulla M,Seabrook JA,Yau L,Hamilton N,Salvadori MI,Dworatzek PDN

doi

10.1016/j.jcjd.2016.07.005

subject

Has Abstract

pub_date

2017-02-01 00:00:00

pages

64-68

issue

1

eissn

1499-2671

issn

2352-3840

pii

S1499-2671(16)30182-4

journal_volume

41

pub_type

杂志文章
  • Effects of Changing the Amount and Source of Dietary Carbohydrates on Symptoms and Dietary Satisfaction Over a 1-Year Period in Subjects with Type 2 Diabetes: Canadian Trial of Carbohydrates in Diabetes (CCD).

    abstract:OBJECTIVES:To determine the long-term effects of changing the amount or source of dietary carbohydrate on quality of life (QOL), symptoms and dietary satisfaction in people with type 2 diabetes. METHODS:Subjects with diabetes treated by diet alone (n=162) were randomly assigned to high-carbohydrate/high-glycemic-index...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jcjd.2016.08.223

    authors: Wolever TM,Chiasson JL,Josse RG,Leiter LA,Maheux P,Rabasa-Lhoret R,Rodger NW,Ryan EA

    更新日期:2017-04-01 00:00:00

  • Downregulated Brain-Derived Neurotrophic Factor-Induced Oxidative Stress in the Pathophysiology of Diabetic Retinopathy.

    abstract::Brain-derived neurotrophic factor (BDNF), a member of neurotrophin growth factor family, physiologically mediates induction of neurogenesis and neuronal differentiation, promotes neuronal growth and survival and maintains synaptic plasticity and neuronal interconnections. Unlike the central nervous system, its secreti...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章,评审

    doi:10.1016/j.jcjd.2016.08.228

    authors: Behl T,Kotwani A

    更新日期:2017-04-01 00:00:00

  • Basal Glucose on Tolerance Test During Pregnancy Predicts Impaired Fasting Glucose and Type 2 Diabetes Within 2 Months After Gestational Diabetes.

    abstract:OBJECTIVES:Postpartum mothers with gestational diabetes may remain with either type 2 diabetes mellitus, impaired glucose tolerance or impaired fasting glucose. Our aim in this study was to identify maternal variables that could predict 1 or more of these conditions. METHODS:In 193 singleton pregnancies with gestation...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2020.06.008

    authors: Olmos P,Borzone G,Poblete A

    更新日期:2020-06-17 00:00:00

  • The Short Version of the Activities-Specific Balance Confidence Scale for Older Adults with Diabetes-Convergent, Discriminant and Concurrent Validity: A Pilot Study.

    abstract:OBJECTIVES:The short version of the Activities-Specific Balance Confidence Scale (ABC-6) is advantageous in busy clinical or research settings because it can be administered in less time than the original 16-item Activities-Specific Balance Confidence Scale (ABC-16). This pilot study examined the convergent, discrimina...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2016.10.007

    authors: Hewston P,Deshpande N

    更新日期:2017-06-01 00:00:00

  • WITHDRAWN: Glucagon-like Peptide-1 Receptor Agonists: A Class Update for Treating Type 2 Diabetes.

    abstract::The Publisher regrets that this article is an accidental duplication of an article that has already been published, http://dx.doi.org/10.1016/j.jcjd.2017.02.003. The duplicate article has therefore been withdrawn. The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-busines...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2017.02.003

    authors: Lovshin JA

    更新日期:2017-04-05 00:00:00

  • Relationship of Neutrophil-to-Lymphocyte Ratio with Aortic Stiffness in Type 1 Diabetes Mellitus.

    abstract:OBJECTIVES:Emerging evidence suggests that the neutrophil-to-lymphocyte ratio (NLR) may be a useful marker of inflammation and aortic stiffness. Markers of inflammation and aortic stiffness are both indicators of cardiovascular events. We, therefore, investigated whether the NLR is associated with aortic stiffness in p...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2015.01.004

    authors: Ayhan H,Kasapkara HA,Aslan AN,Durmaz T,Keleş T,Akçay M,Akar Bayram N,Baştuğ S,Bilen E,Sarı C,Bozkurt E

    更新日期:2015-08-01 00:00:00

  • Developing and Implementing a Food Insecurity Screening Initiative for Adult Patients Living With Type 2 Diabetes.

    abstract:OBJECTIVES:Routine food insecurity screening is recommended in diabetes care to inform more tailored interventions that better support diabetes self-management among food-insecure patients. This pilot study explored the acceptability and feasibility of a food insecurity screening initiative within a diabetes care setti...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2017.06.004

    authors: Thomas B,Fitzpatrick S,Sidani S,Gucciardi E

    更新日期:2018-06-01 00:00:00

  • The Role of the Kidney and SGLT2 Inhibitors in Type 2 Diabetes.

    abstract::Effective glycemic control reduces the risk for diabetes-related complications. However, the majority of patients with type 2 diabetes still do not achieve glycemic targets. Beyond metformin therapy, current practice guidelines for the management of type 2 diabetes recommend individualized treatment based on patient a...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章,评审

    doi:10.1016/j.jcjd.2015.09.001

    authors: Katz PM,Leiter LA

    更新日期:2015-12-01 00:00:00

  • TITRATION: A Randomized Study to Assess 2 Treatment Algorithms with New Insulin Glargine 300 units/mL.

    abstract:OBJECTIVE:It was uncertain whether an algorithm that involves increasing insulin dosages by 1 unit/day may cause more hypoglycemia with the longer-acting insulin glargine 300 units/mL (GLA-300). The objective of this study was to compare safety and efficacy of 2 titration algorithms, INSIGHT and EDITION, for GLA-300 in...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.jcjd.2017.06.007

    authors: Yale JF,Berard L,Groleau M,Javadi P,Stewart J,Harris SB

    更新日期:2017-10-01 00:00:00

  • Diabetes and related metabolic conditions in an aboriginal cree community of quebec, Canada.

    abstract:OBJECTIVE:We evaluated the prevalence of type 2 diabetes, obesity and metabolic syndrome according to International Diabetes Federation criteria in the First Nations Cree community of Mistissini, Quebec. METHODS:A cross-sectional study of 172 adults was performed as part of a broader regional environmental study. RES...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/S1499-2671(09)33006-3

    authors: Chateau-Degat ML,Pereg D,Egeland GM,Nieboer E,Bonnier-Viger Y,Laouan-Sidi EA,Dannenbaum D,Dewailly E

    更新日期:2009-01-01 00:00:00

  • Modulatory effects of diosgenin on attenuating the key enzymes activities of carbohydrate metabolism and glycogen content in streptozotocin-induced diabetic rats.

    abstract:OBJECTIVE:Fenugreek and its active compound diosgenin are ancient herbal medicines recommended by the World Health Organization. In this study, the effect of diosgenin on changes in carbohydrate metabolic enzymes and glycogen content in muscle and kidneys of streptozotocin-induced diabetes rats were evaluated. METHODS...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2014.02.004

    authors: Saravanan G,Ponmurugan P,Deepa MA,Senthilkumar B

    更新日期:2014-12-01 00:00:00

  • Inadequate sleep as a contributor to obesity and type 2 diabetes.

    abstract::Epidemiological studies suggest that adults and children who are habitual short sleepers tend to have a higher body mass index, fat percentage and abdominal circumference when compared to average-duration sleepers. Reduced or disturbed sleep is also associated with certain predictors of type 2 diabetes, such as glucos...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章,评审

    doi:10.1016/j.jcjd.2013.02.060

    authors: McNeil J,Doucet É,Chaput JP

    更新日期:2013-04-01 00:00:00

  • Meaning of Health: The Perspectives of Aboriginal Adults and Youth in a Northern Manitoba First Nations Community.

    abstract:OBJECTIVE:To explore perspectives on the meaning of health to Aboriginal adults and youth living in a northern Manitoba First Nations community. METHODS:Six focus groups with 29 youth and individual interviews with 10 adults were audio-recorded, transcribed verbatim and thematically analyzed. RESULTS:Adults and older...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/S1499-2671(08)22008-3

    authors: Isaak CA,Marchessault G

    更新日期:2008-01-01 00:00:00

  • Understanding the Experiences of East African Immigrant Women With Gestational Diabetes Mellitus.

    abstract:OBJECTIVES:East African (EA) women are a subpopulation who are at very high risk for gestational diabetes (GDM) and poor obstetric outcomes, but little is known about the care experiences of this understudied group. The objective of this study was to document the impact of a diagnosis of GDM and the perceptions of diab...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2018.01.013

    authors: Siad FM,Fang XY,Santana MJ,Butalia S,Hebert MA,Rabi DM

    更新日期:2018-12-01 00:00:00

  • Implementation and Evaluation of the "Metformin First" Protocol for Management of Gestational Diabetes.

    abstract:OBJECTIVES:Although metformin has traditionally been avoided in pregnancy, evidence now supports its safety and efficacy for management of gestational diabetes mellitus (GDM). The primary objective of this study was to evaluate the clinical impact of a metformin-based approach for GDM management through assessment of p...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2019.06.005

    authors: Kumar R,Lowe J,Thompson-Hutchison F,Steinberg D,Shah B,Lipscombe L,Halperin I

    更新日期:2019-12-01 00:00:00

  • Variability of Clinical Practice Management of Type 1 and Type 2 Diabetes During Surgery Across Canada.

    abstract:OBJECTIVE:As part of a larger project to develop quality standards in perioperative diabetes management, the goal of this project was to assess self-reported management of surgical patients with diabetes across healthcare institutions and specialties in Canada. METHODS:Current practice of perioperative management of p...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2020.10.011

    authors: Malcolm J,Halperin I,Moore S,Houlden RL,Canadian Standards for Perioperative\/Periprocedure Glycemic Management Expert Consensus Panel.

    更新日期:2020-10-27 00:00:00

  • Perceived Barriers to and Facilitators of Patient-to-Provider E-Mail in the Management of Diabetes Care.

    abstract:OBJECTIVES:1) to describe current utilization of e-mail in the clinical care of patients with diabetes; and 2) to identify barriers to and facilitators of the adoption of e-mail in diabetes care. METHODS:Participants included diabetes care providers, including 9 physicians and 7 allied health professionals (AHPs). Par...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2015.07.001

    authors: Popeski N,McKeen C,Khokhar B,Edwards A,Ghali WA,Sargious P,White D,Hebert M,Rabi DM

    更新日期:2015-12-01 00:00:00

  • Diabetes and Frailty: Two Converging Conditions?

    abstract::Diabetes mellitus is a disabling, chronic cardiovascular and medical disease with a tremendous health, social and economic burden in our ageing communities. It has a prevalence of 10% to 30% in people older than 65 years of age, and more than half of all subjects with diabetes in the United States are older than 60 ye...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章,评审

    doi:10.1016/j.jcjd.2015.09.004

    authors: Sinclair AJ,Rodriguez-Mañas L

    更新日期:2016-02-01 00:00:00

  • Insulin infusion therapy in critically ill patients.

    abstract::While dysglycemia (hyperglycemia, hypoglycemia and glucose variability) is clearly associated with increased mortality in critically ill patients, target range of blood glucose control remains controversial. Standardized insulin infusion protocols constitute the basis of treatment of these patients. The choice of prot...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章,评审

    doi:10.1016/j.jcjd.2014.01.016

    authors: Boutin JM,Gauthier L

    更新日期:2014-04-01 00:00:00

  • Hyperglycemia in Young Adults With Types 1 and 2 Diabetes Seen in the Emergency Department: A Health Records Review.

    abstract::Patients with diabetes who are in emerging adulthood, defined as the life stage between 18 and 29 years of age, have unique challenges in managing their illness and are at risk for acute complications and loss to follow up. This study's objective was to describe emergency department (ED) utilization because of hypergl...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章,评审

    doi:10.1016/j.jcjd.2017.06.016

    authors: Yan JW,Hamelin AL,Gushulak KM,Van Aarsen K,Columbus MP,Stiell IG

    更新日期:2018-06-01 00:00:00

  • Review of Dietary Practices of the 21st Century: Facts and Fallacies.

    abstract::The prevalence of chronic metabolic diseases, such as diabetes, cardiovascular diseases and cancer, is increasing around the world. Nutritional interventions can reduce the prevalence and provide effective treatment, even when weight loss is not dramatic. The 2013 Canadian Diabetes Association Clinical Practice Guidel...

    journal_title:Canadian journal of diabetes

    pub_type: 历史文章,杂志文章,评审

    doi:10.1016/j.jcjd.2016.05.005

    authors: Subhan FB,Chan CB

    更新日期:2016-08-01 00:00:00

  • Uptake of Community Pharmacist-Delivered MedsCheck Diabetes Medication Review Service in Ontario between 2010 and 2014.

    abstract:OBJECTIVES:The objective of the study was to describe the demographic and clinical characteristics of MedsCheck Diabetes (MCD) recipients in Ontario between program launch on September 1, 2010, and March 31, 2014. METHODS:This cohort study leveraged linked administrative claims data. Trends in MCD claims and recipient...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2016.12.001

    authors: MacCallum L,Consiglio G,MacKeigan L,Dolovich L

    更新日期:2017-06-01 00:00:00

  • WITHDRAWN: Performance of Community Blood Glucose Meters in Calgary, Alberta: An Analysis of Quality Assurance Data.

    abstract:OBJECTIVE:The self-monitoring of blood glucose plays a critical role in management of diabetes mellitus. Although laboratory comparisons of glucose meter accuracy are often acceptable, clinical comparisons show frequent inaccuracies. In this paper, we evaluate the accuracy of self-monitoring blood glucose meters using ...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章,撤回出版物

    doi:10.1016/j.jcjd.2016.04.004

    authors: Naugler C,Zhang Z,Redman L

    更新日期:2016-05-01 00:00:00

  • Classification of Support Needs for Elderly Outpatients with Diabetes Who Live Alone.

    abstract:OBJECTIVES:To investigate the support needs of elderly patients with diabetes and to classify elderly patients with diabetes living alone on the basis of support needs. METHODS:Support needs were derived from a literature review of relevant journals and interviews of outpatients as well as expert nurses in the field o...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jcjd.2015.09.005

    authors: Miyawaki Y,Shimizu Y,Seto N

    更新日期:2016-02-01 00:00:00

  • Association between Physical Activity and Health-Related Quality of Life in Adults with Type 2 Diabetes.

    abstract:OBJECTIVES:To examine the association between meeting physical-activity recommendations and health-related quality of life (HRQL) in adults with type 2 diabetes. METHODS:Data from the Alberta's Caring for Diabetes cohort were used. Self-report questionnaires were mailed to patients with type 2 diabetes who were living...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2016.07.004

    authors: Thiel DM,Al Sayah F,Vallance JK,Johnson ST,Johnson JA

    更新日期:2017-02-01 00:00:00

  • Impaired gallbladder motility in adults with newly detected type 2 diabetes and lack of reversibility after achieving euglycemia.

    abstract:OBJECTIVE:The effects of hyperglycemia and normoglycemia on gallbladder emptying have not been studied in detail. This prospective case-control study was designed to investigate the gallbladder ejection fraction in patients with newly detected diabetes and to assess the impact of restoring normoglycemia on gallbladder ...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2014.07.223

    authors: Arshad F,Laway BA,Rather TA,Kuchay MS,Khan SH

    更新日期:2015-04-01 00:00:00

  • Ketogenic Diet as a Normal Way of Eating in Adults With Type 1 and Type 2 Diabetes: A Qualitative Study.

    abstract:OBJECTIVES:There are currently no recommendations on following the ketogenic diet (KD) in the context of diabetes and, therefore, health-care professionals may not be comfortable in supporting this dietary regimen. In this qualitative study, we aim to understand the perspective of patients with diabetes when following ...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2020.06.016

    authors: Wong K,Raffray M,Roy-Fleming A,Blunden S,Brazeau AS

    更新日期:2020-06-27 00:00:00

  • Practical Considerations and Rationale for Glucagon-like Peptide-1 Receptor Agonist Plus Sodium-Dependent Glucose Cotransporter-2 Inhibitor Combination Therapy in Type 2 Diabetes.

    abstract::Glucagon-like peptide-1 receptor agonists and sodium-dependent glucose cotransporter-2 inhibitors have demonstrated clinically significant benefits on glycated hemoglobin, weight, blood pressure and cardiorenal outcomes. The emerging evidence from clinical trials and meta-analyses that assessed the combination of thes...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章,评审

    doi:10.1016/j.jcjd.2020.09.005

    authors: Goldenberg RM,Ahooja V,Clemens KK,Gilbert JD,Poddar M,Verma S

    更新日期:2020-09-14 00:00:00

  • Use patterns of antidiabetic regimens by patients with type 2 diabetes.

    abstract:OBJECTIVE:To describe the use patterns of metformin-based antidiabetic regimens in patients with type 2 diabetes and to identify predictors of initiating metformin monotherapy. METHODS:By using administrative databases from Alberta, Canada, we identified all metformin users ages 65 years and older between 1998 and 201...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2013.04.008

    authors: Abdelmoneim AS,Eurich DT,Gamble JM,Simpson SH

    更新日期:2013-12-01 00:00:00

  • A Simple Score Model to Assess Prediabetes Risk Status Based on the Medical Examination Data.

    abstract:OBJECTIVES:We aimed to build a risk score model to screen out the patients at high-risk status so as to prevent or delay the conversion of prediabetes to diabetes. METHODS:The population were divided into 2 groups: 1 was an exploratory population, and the other was a validation population. All the data were extracted ...

    journal_title:Canadian journal of diabetes

    pub_type: 杂志文章

    doi:10.1016/j.jcjd.2016.02.013

    authors: Ouyang P,Guo X,Shen Y,Lu N,Ma C

    更新日期:2016-10-01 00:00:00