A pilot study of mealtime insulin administration and parental stress in youth with new‐onset type 1 diabetes
Authors' conclusion
In comparison to precise insulin dosing using an ICR, fixed insulin dosing for a fixed range of CHOs may be less stressful for parents to learn and employ when initially taught diabetes management skills for their child with new-onset type 1 diabetes.
Study context
- Population
- Children aged 8–14 years with new-onset T1D and their parents
- Participants
- 24 children
- Comparison
- Fixed insulin dose for a fixed CHO range (FD) vs precise dose using an insulin-to-carbohydrate ratio (ICR)
- Primary endpoint
- Parental stress measured with the parental stress survey (PSS)
- Follow-up
- 1 to 4 months after diagnosis
Methodological detailspilot
- Pilot
Primary result
As reported in the abstract
Parental stress (PSS) · first 4 months after diagnosis
- Parents in FD reported less stress than parents in ICR
- FD vs ICR: P = 0.022
Secondary outcomes
- Glycemic variability and HbA1c were similar in both groups
Safety
- No patients in either group required an ED visit or hospitalization
Original publication
A pilot study of mealtime insulin administration and parental stress in youth with new‐onset type 1 diabetes. Diabet Med. Published 19 January 2023. doi:10.
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