1. Inicio
  2. Atrás
L
Título: The impact of nutrition intervention on glycemic control in a pediatric type 1 diabetes mellitus population
Autores: Harris, Valerie E
Fecha: 2008-01-01
Publicador: DigitalCommons@The Texas Medical Center
Fuente: Ver documento
Tipo: text
Tema: Health Sciences, Nutrition
Descripción: Aim: The goal of this study was to evaluate the change in hemoglobin A1C and glycemic control after nutrition intervention among a population of type 1 diabetic pediatric patients. Methods: Data was collected from all type 1 diabetic patients who were scheduled for a consultation with the diabetes/endocrine RD from January 2006 through December 2006. Two groups were compared, those who kept their RD appointment and those who did not keep their appointment. The main outcome measure was HgbA1C. An independent samples t-test compared the two groups with respect to change in HbgA1C before and after the most recent scheduled appointment with the RD. Baseline characteristics were used as covariates and analyzed and controlled for using analysis of covariance (ANCOVA). Results: There was no difference in HgbA1c after either attending an RD appointment or not having attended an RD appointment. Those who arrived for and attended their RD appointment and those who did not arrive for and attend their RD appointment, had statistically different HgbA1C's before their scheduled appointment as well as after the RD appointment. However, the two groups were not equal at the beginning of the study period. Discussion: A study design with inclusion criteria of a specified range of HgbA1C values within which the study subjects needed to fall, would have potentially eliminated the difference between the two groups at the beginning of the study period. Conducting either another retrospective study that controlled for the initial HgbA1C value or conducting a prospective study that designated a range of HgbA1C values would be worth investigating to evaluate the impact of medical nutrition therapy intervention and the role of the RD in diabetes management. It is an interesting finding that there was a significant difference in the initial HgbA1c for those who came to the RD appointment compared to those who did not come. The fact that in this study those who did not arrive for their RD appointment had worse control of their diabetes suggests that this is a high-risk group. Targeting diabetes education toward this group of patients may prove to be beneficial. ^
Idioma: No aplica
Artículos similares:
1 
Advances in Teaching & Learning Day Abstracts 2003 por Phelps, Cynthia L.
6 
Developing a Web-Based Course in Phases por Rodriguez, Tom
2 
Advances in Teaching & Learning Day Abstracts 2004 por Phelps, Cynthia L.
7 
Telemedicine Distance Mentoring of Healthcare Students por Loera, Jose A., MD
3 
Prioritizing Residents' Needs: On the Creation of a Residents as Teachers and Leaders Program por Tejada-Simon, Maria V., MS, PhD,Ismail, Nadia, MD, MPH,Culberson, John W. , MD,Friedland, Joan A., MPH, MD,Dewey, Charlene M., MEd, FACP, MD
8 
Integrating Web-based Curricula into Allied Health Programs por Warren-Morris, Donna, RDH, MEd,McWherter, Jayne A., RDH, MEd,McKitrick, Darla K., RDH, MEd
4 
Developing Dramatic Movies to Teach Interdisciplinary Collaboration to Allied Health, Medical and Nursing Students por Marion, Rodger, PhD
9 
A Student-Initiated Elective in Medical Ethics: Innovations in Design and Institutionalization por Muallem, Gaia, BA,Patel, Chirag B., MSE,Boisaubin, Eugene V., MD
5 
The Impact of a Brief Intervention on Medical Students' Readiness to Screen for DV - Changes in Decisional Balance and Self-Efficacy por Patel, Chirag B., MSE,Benjamins, Laura J. , MD
10 
Bringing the Community into the Classroom: Teaching Immunizations Skills via a Community-based Project por Stephenson, Karen S., MS,Bigler, Teri, MS