Evidence map›Paper›PMID 40887640›Full record

ArticleBMC pediatrics2025

Impact of tailored diabetes education on adherence and glycemic control in children and adolescents on continuous subcutaneous insulin infusion, prospective interventional study in a tertiary center.

Mona Hassan, Mahmoud ElHelaly, Nora Badawi, Mariam Nader, Radwa Shamma

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Article in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Mona HassanDepartment of Pediatrics, Faculty of Medicine, Cairo University, Cairo, Egypt.ORCID 0000-0002-2198-8228
Mahmoud ElHelalyDepartment of Pediatrics, Military Medical Academy, Cairo, Egypt.
Nora BadawiDepartment of Pediatrics, Faculty of Medicine, Cairo University, Cairo, Egypt.ORCID 0000-0002-2037-6844
Mariam NaderDepartment of Pediatrics, Military Medical Academy, Cairo, Egypt.
Radwa ShammaDepartment of Pediatrics, Faculty of Medicine, Cairo University, Cairo, Egypt. radwa.shamma@hotmail.com.ORCID 0000-0001-5010-0518

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStructured diabetes education plays a crucial role in the management of Type 1 Diabetes (T1D), especially with advanced technologies such as continuous subcutaneous insulin infusion (CSII). This study evaluates the impact of tailored education on adherence and glycemic control among pediatric CSII users. PATIENTS AND

methodsThis interventional analytical study included 30 patients diagnosed with T1D with age ranged from 5 to 18 years, recruited from Diabetes & Endocrinology Clinic at tertiary university-based children's hospital. Patients were recruited for one year duration. Patients who were on multiple daily injection (MDI) for 2 to 10 years were shifted to CSII after receiving comprehensive diabetes education. Their education level was assessed individually using a questionnaire to assess patients' knowledge and application skills at the time of insulin pump insertion, 3 and 6 months later. Twenty-five patients were on mini-med 715, 10 patients used flash glucose monitoring, and 15 patients used self-monitoring blood sugar, while five patients were on mini-med 780G and continuous glucose monitoring (CGM) using guardian 4 (G4).

resultsStudy included 19 females (63.3%) and 11 males (36.7%) with age ranged from 7 to 11 with mean ± SD of 10.74 ± 1.86. Patients' education level was assessed before pump insertion, and 3 months later which shows significant improvement in patients' diabetes knowledge and technical skills with P-value 0.038. Also, time in range (TIR) improved significantly in well-educated patients at 3 and 6 months with P-values 0.048 and 0.025 respectively. There was highly significant improvement of HbA1c after 6 months (8.82 ± 1.5 vs. 7.18 ± 0.56) with P-value 0.000 after receiving diabetes education.

conclusionsTailored diabetes education significantly improves adherence and glycemic outcomes in pediatric patients using CSII. Integrating structured educational programs with diabetes technology is essential to achieve optimal metabolic control in youth.

Indexed as

Diabetes Mellitus, Type 1Glycemic ControlHypoglycemic AgentsInsulinInsulin Infusion SystemsPatient CompliancePatient Education as TopicAdolescentBlood GlucoseBlood Glucose Self-MonitoringChildChild, PreschoolFemaleGlycated HemoglobinHealth Knowledge, Attitudes, PracticeHumansBlood GlucoseGlycated HemoglobinHypoglycemic AgentsInsulinContinuous subcutaneous insulin infusionDiabetes educationGlycemic controlInsulin pumpPediatric diabetesType 1 diabetes

Identifiers

PMID40887640
PMCPMC12400561

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.