Interventions to Promote Diabetes Self-Management in Children and Youth: A Scoping Review

Susan M Cahill1, Katie M Polo2, Brad E Egan3

  • 1Susan M. Cahill, PhD, OTR/L, FAOTA, is Founding MSOT Program Director and Associate Professor, Lewis University, Romeoville, IL. At the time of the research, she was Associate Professor, Occupational Therapy Program, Midwestern University, Downers Grove, IL; cahillsu@lewisu.edu.

Insights

As children with diabetes mature, they gain more control over their condition. This review of pediatric diabetes self-management interventions highlights the importance of parent involvement and technology in supporting youth.

Area of Science:

  • Pediatric Endocrinology
  • Diabetes Self-Management Research
  • Occupational Therapy Interventions

Background:

  • Children and adolescents with diabetes increasingly require self-management skills as they age.
  • Effective interventions are crucial for supporting youth in managing their condition.
  • Existing literature on self-management interventions for pediatric diabetes needs synthesis.

Purpose of the Study:

  • To conduct a scoping review of research on self-management interventions for children and youth with diabetes.
  • To identify key components and approaches used in existing interventions.
  • To inform occupational therapy practitioners on selecting appropriate interventions for pediatric diabetes care.

Main Methods:

  • A systematic scoping review methodology was employed.
  • Eleven studies met the predefined inclusion criteria.
  • Literature search focused on self-management education and support interventions.

Main Results:

  • The majority of reviewed studies focused on adolescents aged 14 years and older.
  • Interventions commonly provided self-management education, support, or a combination of both.
  • Parental involvement was a significant component in most interventions, and technology was utilized in three studies.

Conclusions:

  • Self-management interventions for pediatric diabetes are diverse, often targeting older adolescents.
  • Parental engagement and technological integration are notable trends in current interventions.
  • Findings provide valuable insights for occupational therapists collaborating on pediatric diabetes management teams to optimize intervention selection.

Related Concept Videos

Diabetes: Management and Pharmacotherapy01:15

Diabetes: Management and Pharmacotherapy

The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
1.3K
Diabetes Mellitus: Type 2 and Gestational01:22

Diabetes Mellitus: Type 2 and Gestational

Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
5.3K
Diabetes Mellitus: Overview and Type I Subtype01:22

Diabetes Mellitus: Overview and Type I Subtype

Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
5.8K
Insulin: Dosing Regimen and Adverse Effects01:16

Insulin: Dosing Regimen and Adverse Effects

Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
1.0K
Diabetes: Symptoms, Diagnosis, and Complications01:15

Diabetes: Symptoms, Diagnosis, and Complications

For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
2.7K
Hypoglycemia and Glucagon01:15

Hypoglycemia and Glucagon

Without prolonged fasting, healthy individuals maintain blood glucose levels above 3.5 mM due to a well-adapted neuroendocrine counterregulatory system that effectively prevents acute hypoglycemia, a potentially life-threatening condition. The primary clinical scenarios for hypoglycemia encompass diabetes treatment, inappropriate production of endogenous insulin or insulin-like substances by tumors, and the use of glucose-lowering agents in non-diabetic individuals. Notably, hypoglycemia in the...
1.2K