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Foster care and type 1 diabetes in the Bronx: a case series

Mariam Gangat1, Genna W Klein, Rubina A Heptulla

  • 1Division of Endocrinology and Diabetes, The Children's Hospital at Montefiore, 3415 Bainbridge Avenue, Bronx, NY 10467, USA. mariam.gangat@gmail.com

Journal of Pediatric Endocrinology & Metabolism : JPEM
|November 20, 2012
PubMed

Insights

Children with type 1 diabetes mellitus (T1DM) in foster care experience poor glycemic control and social outcomes. Improved foster care programs are essential for these vulnerable children.

Area of Science:

  • Pediatric Endocrinology
  • Child Welfare Services
  • Public Health

Background:

  • Type 1 diabetes mellitus (T1DM) requires intensive management.
  • Children in foster care often face complex health and social challenges.

Observation:

  • This study reviewed the health status of children with T1DM in foster care.
  • Patients were primarily African American or Hispanic, raised by single mothers, and referred for medical neglect.
  • Children experienced multiple placements and prolonged hospitalizations, incurring significant healthcare costs.

Findings:

  • Children with T1DM in foster care exhibited poor glycemic control.
  • Suboptimal social outcomes were observed in this population.
  • The healthcare system faced extensive financial burdens due to prolonged hospitalizations and frequent admissions.

Implications:

  • There is a critical need for specialized programs to improve foster care for children with T1DM.
  • Interventions should address both medical management and social support for improved health outcomes.
  • This research highlights the vulnerability of children with T1DM in the foster care system.
Abstract

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