title: Impact of diabetes education on type 1 diabetes mellitus control in children.
abstract: BACKGROUND
  Diabetes education is an essential tool to achieve treatment objectives in type1 diabetes mellitus (T1DM). The aim of this study was to determine if understanding of diabetes by caregivers/patients or sociodemographic factors affect blood glucose control in children and adolescents with T1DM.
  
  
  METHODS
  The level of knowledge of 105 caregivers of children and adolescents with T1DM was assessed using a survey adapted to the type of treatment used (multiple dose insulin [MDI] or continuous subcutaneous insulin infusion [CSII]). Mean HbA1c levels in the previous year was considered as metabolic control marker.
  
  
  RESULTS
  Mean HbA1c levels were similar in both treatment groups, with slightly higher values in children over 12years of age. Patients on CSII had a longer time since disease onset and had poorer results, maybe because the items were more difficult due to the higher level of knowledge required for this treatment modality (P=.005). Caregivers with lower educational levels achieved poorer scores in the survey, but mean HbA1c levels of their children were lower, probably because of their greater involvement in disease care.
  
  
  CONCLUSIONS
  The level of knowledge of caregivers and/or patients with T1DM was high, and this was associated to good metabolic control. Studies to assess the impact of caregiver knowledge on metabolic control of children are needed.
authors.affiliation: Servicio de Pediatría, Unidad de Diabetes Pediátrica, Hospital Universitario Ramón y Cajal, Madrid, España. Electronic address: danielenrique.alonso@salud.madrid.org.
authors.forename: Daniel E
authors.initials: DE
authors.lastname: Alonso Martín
authors.affiliation: Servicio de Pediatría, Unidad de Diabetes Pediátrica, Hospital Universitario Ramón y Cajal, Madrid, España.
authors.forename: M Belén
authors.initials: MB
authors.lastname: Roldán Martín
authors.affiliation: Servicio de Pediatría, Unidad de Diabetes Pediátrica, Hospital Universitario Ramón y Cajal, Madrid, España.
authors.forename: M Ángeles
authors.initials: MÁ
authors.lastname: Álvarez Gómez
authors.affiliation: Servicio de Pediatría, Unidad de Diabetes Pediátrica, Hospital Universitario Ramón y Cajal, Madrid, España.
authors.forename: Rosa
authors.initials: R
authors.lastname: Yelmo Valverde
authors.affiliation: Servicio de Pediatría, Unidad de Diabetes Pediátrica, Hospital Universitario Ramón y Cajal, Madrid, España.
authors.forename: María
authors.initials: M
authors.lastname: Martín-Frías
authors.affiliation: Servicio de Pediatría, Unidad de Diabetes Pediátrica, Hospital Universitario Ramón y Cajal, Madrid, España.
authors.forename: Milagros
authors.initials: M
authors.lastname: Alonso Blanco
authors.affiliation: Servicio de Pediatría, Unidad de Diabetes Pediátrica, Hospital Universitario Ramón y Cajal, Madrid, España.
authors.forename: Raquel
authors.initials: R
authors.lastname: Barrio Castellanos
mesh_terms: D000293:Adolescent; D017028:Caregivers / Q000523:psychology*; D002648:Child; D003430:Cross-Sectional Studies; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000188:drug therapy* / Q000523:psychology; D006442:Glycated Hemoglobin / Q000032:analysis; D006306:Health Surveys; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D007279:Injections, Subcutaneous; D007328:Insulin / Q000008:administration & dosage / Q000627:therapeutic use; D007332:Insulin Infusion Systems; D010353:Patient Education as Topic; D011795:Surveys and Questionnaires
chemical_list: D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents; D007328:Insulin
keywords: Administración subcutánea; Bomba de insulina; Diabetes education; Diabetes mellitus tipo 1; Educación diabetológica; Insulin; Insulin pump; Insulina; Subcutaneous administration; Type 1 diabetes mellitus