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An Effective Diabetic Ketoacidosis Prevention Intervention in Children With Type 1 Diabetes.


ABSTRACT: The objective of this study was to evaluate the effectiveness of a brief, office-based educational intervention to increase parent or patient recognition of the early warning signs and symptoms of diabetic ketoacidosis (DKA). Forty-two patients aged?>?13 years and 34 parents of children aged???13 years were given a pretest questionnaire about their knowledge of signs and symptoms of DKA and sick day management practices. They received a brief refresher course on sick day management specific to their treatment modality (pump vs. injection) and were given a take-home flow sheet of guidelines for diabetes sick day management. Subjects were retested with the same knowledge questionnaire after 6 to 12 months. Patients or parents scored higher on the posttest than the pretest and called the emergency line for assistance more frequently (p?=?.032) following the intervention. Emergency department visits were significantly reduced in adolescents (p?=?.024). A short educational intervention and printed management tool is effective in improving sick day and DKA knowledge and appears to be effective in reducing emergency department visits by increasing utilization of a diabetes emergency line for early outpatient intervention.

SUBMITTER: Vitale RJ 

PROVIDER: S-EPMC7774356 | biostudies-literature | 2018 Jan-Dec

REPOSITORIES: biostudies-literature

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An Effective Diabetic Ketoacidosis Prevention Intervention in Children With Type 1 Diabetes.

Vitale Rebecca J RJ   Card Casey E CE   Lichtman Judith H JH   Weyman Kate K   Michaud Camille C   Sikes Kristin K   Tamborlane William V WV   Weinzimer Stuart A SA  

SAGE open nursing 20180101


The objective of this study was to evaluate the effectiveness of a brief, office-based educational intervention to increase parent or patient recognition of the early warning signs and symptoms of diabetic ketoacidosis (DKA). Forty-two patients aged > 13 years and 34 parents of children aged ≤ 13 years were given a pretest questionnaire about their knowledge of signs and symptoms of DKA and sick day management practices. They received a brief refresher course on sick day management specific to t  ...[more]

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