Type 1 diabetes outcomes of children born in Israel of Eritrean asylum seekers
| العنوان: | Type 1 diabetes outcomes of children born in Israel of Eritrean asylum seekers |
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| المؤلفون: | Asaf Oren, Anna Dorfman, Irina Laurian, Galit Israeli, Hagar Interator, Yael Lebenthal, Ori Eyal, Efrat Chorna, Avivit Brener, Erella Elkon-Tamir, Gil Rosen |
| المصدر: | Acta Diabetologica. 58:145-152 |
| بيانات النشر: | Springer Science and Business Media LLC, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Blood Glucose, Male, Socioeconomic position, Endocrinology, Diabetes and Metabolism, 030209 endocrinology & metabolism, Glycemic Control, Eritrea, 030204 cardiovascular system & hematology, Health outcomes, Diabetic Ketoacidosis, 03 medical and health sciences, Hba1c level, 0302 clinical medicine, Endocrinology, Diabetes mellitus, Ambulatory Care, Internal Medicine, medicine, Humans, Israel, Child, Glycemic, Glycated Hemoglobin, Refugees, Type 1 diabetes, business.industry, Continuous glucose monitoring, Blood Glucose Self-Monitoring, General Medicine, Prognosis, medicine.disease, Patient Outcome Assessment, Diabetes Mellitus, Type 1, Social Class, Child, Preschool, Female, Observational study, business, Demography |
| الوصف: | Disparities in health outcomes in pediatric type 1 diabetes (T1D) based on race/ethnicity and socioeconomic position (SEP) have been reported. We compared T1D characteristics between Eritrean status-less children living in Israel and native-born Israeli children.This observational study compared 7 Eritrean and 28 Israeli children ( 8 years old at T1D diagnosis) who were diagnosed in a single diabetes center during 2015-2019. Sociodemographic and diabetes-related data from diagnosis until the last clinic visit were retrieved from their medical files.At diagnosis, the mean age was 4.8 ± 2.2 years, 17 (48.6%) had diabetic ketoacidosis with a mean HbA1c level of 10.5 ± 2.1% (91.3 mmol/mol) and 29 (82.9%) had ≥ 2 pancreatic autoantibodies. The mean T1D duration of follow-up was 2.7 ± 1.4 years. Overall glycemic control during follow-up ( 6 months from diagnosis, mean number of samples 10.6 ± 5.2) was good, with mean, best, and peak HbA1c levels of 7.4 ± 0.8% (57.4 mmol/mol), 6.7 ± 0.7% (49.7 mmol/mol), and 8.1 ± 1.1% (65 mmol/mol), respectively. Thirty-two children (91.4%) used continuous glucose monitoring devices (CGMs), and the mean time from diagnosis to CGM initiation was 10.8 ± 14.1 months. CGM metrics: time CGM active: 95.4 ± 3.8%, mean glucose level: 170.0 ± 27.0 mg/dl (9.4 mmol/L), time-in-range: 56.4 ± 14.7%, time-below-range: 5.5 ± 5.7%, and time-above-range: 38.6 ± 16.1%. Diabetes-related parameters at diagnosis and during follow-up were similar between groups. Eritrean children had significantly lower SEPs (P 0.001) and parental education levels (P 0.001). Correlations between SEP and diabetes parameters and SEP and growth parameters were not significant.Eritrean status-less children in Israel achieved glycemic targets similar to those of Israeli children, perhaps reflecting uniformity in the standard of care and CGM usage. |
| تدمد: | 1432-5233 0940-5429 2015-2019 |
| DOI: | 10.1007/s00592-020-01597-3 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::60730ffca373ef4145241ecf3db864ac https://doi.org/10.1007/s00592-020-01597-3 |
| Rights: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....60730ffca373ef4145241ecf3db864ac |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14325233 09405429 20152019 |
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| DOI: | 10.1007/s00592-020-01597-3 |