More evidence needed on the benefits of CGM in children with type 1 and adults with type 2

SMBG

Previous systematic reviews and meta-analyses have failed to turn up clear evidence on the benefits and harms of continuous glucose monitoring (CGM) in children with type 1 diabetes and insulin-using patients with type 2 diabetes. This systematic review set out to update this state of affairs in the light of recent studies. In children with [read the full story…]

Ethnicity, parenting, stress and self-efficacy are all associated with glycaemic control in young people with diabetes

Child with a megaphone

This review was motivated by the need to understand the barriers to achieving and maintaining good metabolic control among children and adolescents. From insulin pump (CSII) therapy to carbohydrate counting, technology has advanced rapidly since the Diabetes Control & Complications Trial.  However, this has not been matched with efforts to understand the impact of human [read the full story…]

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Review: children and adolescents with type 1 diabetes can have the same quality of life as those without it

A child tests her blood sugar

A new systematic review summarises a number of studies that examined how diabetes affects the quality of life of children and adolescents. Clinical question: In children with type 1 diabetes, is quality of life worse compared with the general population? The evidence: Is it not clear exactly how the reviewers calculated the “effect size” on [read the full story…]

Eating disorders are common and problematic in adolescents with type 1 diabetes.

Young people with diabetes often struggle with diet in their teens.  A new systematic review looks at how common problems with eating are in adolescents with type 1 diabetes, in comparison with their non-diabetic peers. Clinical question: In young adults with type 1 diabetes, what is the prevalence of eating problems? The review differentiated between [read the full story…]

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Review: more evidence needed for metformin in children with type 2 diabetes

A child tests her blood sugar

Metformin is usually the first line of active treatment for type 2 diabetes in adults. However, like many drugs its safety and effectiveness has not be adequately studied in children.  With more children being diagnosed as type 2, should metformin also be the first port of call for them? Clinical question: In children and adolescents [read the full story…]

Unclear evidence from a poor quality review of insulin pump therapy in children.

Insulin pump therapy, or Continuous Subcutaneous Insulin Infusion (CSII), has many potential benefits for children with type 1 diabetes.  This review set out to summarise the clinical effects compared with multiple daily injections (MDI) of insulin lispro. Clinical question: In children and adolescents with type 1 diabetes, how effective is delivery of insulin lispro by [read the full story…]

Facilitating the transition from paediatric to adult care services.

Children may gradually shift gradually from diabetes care supervised by parents and other adults to self-care management. The actual change from paediatric to adult health care providers can be more abrupt. Clinical question: In children with diabetes, how should the transition to adult care be managed by care systems? This consensus statement provides a framework [read the full story…]

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Better evidence needed for psychological interventions in young people with diabetes

A young girl

Clinical question In children and young people with diabetes, do psychological interventions improve care? This review had a broad scope and included many different types of intervention for different disease areas.  The common factor was children with chronic diseases.  It is not clear which outcomes were set out in advance as being of interest to [read the full story…]

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