Type 1 diabetes

Parental diabetes distress is a stronger predictor of child HbA1c than diabetes device use in school-age children with type 1 diabetes

BMJ Open Diabetes Res CarePublished Cross-sectional study

Authors' conclusion

Our analyses suggest parent DD is a strong predictor of child HbA1c and is another modifiable treatment target for lowering child HbA1c.

Study context

Population
157 families of school-age children with T1D; children 49% boys, 77.1% non-Hispanic white, mean age 10.2±1.5 years, T1D duration 3.8±2.4 years
Participants
157 families
Outcome
Associations between parent-reported and child-reported diabetes distress, T1D device use and child HbA1c

Main finding

As reported in the abstract

Correlates of child HbA1c

Higher child HbA1c correlated with non-pump use

r=−0.16

p<0.05

Higher child HbA1c correlated with higher parent Parent Problem Areas in Diabetes-Child (PPAID-C) scores

r=0.36

p<0.001

Higher child HbA1c correlated with higher child Problem Areas in Diabetes-Child (PAID-C) scores

r=0.24

p<0.001

Observational data: associations, not effects.

Further findings

Diabetes distress scores and HbA1c

Parents' mean PPAID-C score (range 16-96)
51.83±16.79
Children's mean PAID-C score (range 11-66)
31.59±12.39
Child HbA1c (mean±SD)
7.96±1.62%

Original publication

Parental diabetes distress is a stronger predictor of child HbA1c than diabetes device use in school-age children with type 1 diabetes. BMJ Open Diabetes Res Care. Published 12 September 2023. doi:10.1136/bmjdrc-2023-003607

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