Abstract:
OBJECTIVES:(1) to describe pediatric patients with T1D and their caregivers' perceptions of measures of glycemic control (hemoglobin [A1C] and blood glucose [BG] levels) and (2) to determine the relationship between patients' and caregivers' perceptions of measures of glycemic control with actual A1C levels and adherence to diabetes self-care behaviors. METHODS:Patients (8 to 18 years) with T1D and caregivers completed questionnaires that queried their perceptions of (1) what the A1C level assesses, (2) the ideal A1C target, and (3) the ideal BG range. Point-of-care A1C levels were measured for each patient. They also completed the Self-Care Inventory Revised (SCI-R) to assess adherence to diabetes self-care behaviors. RESULTS:Among 253 dyads, the frequencies of patients compared to caregivers who could accurately describe what the A1C level assesses, identify the ideal A1C target, and identify the ideal BG range were 20 vs. 66, 31 vs. 56, and 72 vs. 76%, respectively. Patients' accuracy in reporting ideal targets for glycemic control was significantly associated with caregivers' accuracy. There was a trend for lower median A1C levels in patients who were part of a dyad wherein both had accurate perceptions of glycemic control. CONCLUSIONS:Patients and caregivers had accurate knowledge of ideal BG range but were less knowledgeable about the meaning of A1C levels and ideal A1C targets. Nevertheless, whether glycemic control was perceived as an A1C measurement or a BG range, A1C levels trended lower for patients when both they and their caregivers had accurate perceptions of glycemic control.
journal_name
Can J Diabetesjournal_title
Canadian journal of diabetesauthors
Rosolowsky E,Yaskina M,Couch Rdoi
10.1016/j.jcjd.2017.07.002subject
Has Abstractpub_date
2018-06-01 00:00:00pages
302-307.e1issue
3eissn
1499-2671issn
2352-3840pii
S1499-2671(17)30281-2journal_volume
42pub_type
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journal_title:Canadian journal of diabetes
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journal_title:Canadian journal of diabetes
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pub_type: 杂志文章,撤回出版物
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pub_type: 历史文章,杂志文章,评审
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