The initial care when a child is diagnosed with type 1 diabetes
type: CreativeWork
description: When a child is diagnosed with diabetes, the symptoms may be in its most severe form with ketoacidosis, to mild symptoms of diabetes, detected incidentally. Moderate and severe symptoms of diabetes presentation require infusion therapy and thereby necessitate hospitalisation for the first few days. The initial management is largely a preparation for family members to help them gain the practical understanding and skills needed for integrating the treatment in everyday life. Some units routinely admit the children to hospital, while others say they can be safely managed at home. There is no high-quality evidence concerning the consequences that the differences in the type of service might have for the child, family or health system. The overall aim of this thesis was to investigate the initial care for children newly diagnosed with type 1 diabetes, receiving conventional hospital-based care and hospital-based home care (HBHC), i.e. specialist care in a home-based setting. A further aim was to identify families where the child runs the risk of decreased metabolic control and to give these families increased support. Two studies have been carried out at Skåne University Hospital Lund in Sweden. The first had a retrospective design with the aim of assessing whether temporal changes in the initial management over a ten year period affected children’s metabolic control two years after diagnosis. The results showed that during the years 1997 up to 2006 all children, except one, were admitted to hospital. The duration of the hospital stay decreased from a mean of three weeks to two weeks. Seventy-five per cent of the children were not acutely ill (defined as pH ≥7.30) at diagnosis and 94% of the children initially received intravenous insulin treatment. Neither the length of the hospital stay nor any differences in insulin treatment were associated with children’s metabolic control over time. The second study had a randomised design with the aim of comparing two different r…
abstract: When a child is diagnosed with diabetes, the symptoms may be in its most severe form with ketoacidosis, to mild symptoms of diabetes, detected incidentally. Moderate and severe symptoms of diabetes presentation require infusion therapy and thereby necessitate hospitalisation for the first few days. The initial management is largely a preparation for family members to help them gain the practical understanding and skills needed for integrating the treatment in everyday life. Some units routinely admit the children to hospital, while others say they can be safely managed at home. There is no high-quality evidence concerning the consequences that the differences in the type of service might have for the child, family or health system. The overall aim of this thesis was to investigate the initial care for children newly diagnosed with type 1 diabetes, receiving conventional hospital-based care and hospital-based home care (HBHC), i.e. specialist care in a home-based setting. A further aim was to identify families where the child runs the risk of decreased metabolic control and to give these families increased support. Two studies have been carried out at Skåne University Hospital Lund in Sweden. The first had a retrospective design with the aim of assessing whether temporal changes in the initial management over a ten year period affected children’s metabolic control two years after diagnosis. The results showed that during the years 1997 up to 2006 all children, except one, were admitted to hospital. The duration of the hospital stay decreased from a mean of three weeks to two weeks. Seventy-five per cent of the children were not acutely ill (defined as pH ≥7.30) at diagnosis and 94% of the children initially received intravenous insulin treatment. Neither the length of the hospital stay nor any differences in insulin treatment were associated with children’s metabolic control over time. The second study had a randomised design with the aim of comparing two different r…
author: Tiberg, Irén
language: eng
keywords: Health Sciences, Hemoglobin A1c, Health Resourses, Health Care Costs, Family, Home Care Resvices, Disease Management, Patient Satisfaction, Randomised Controlled Trial, Research Design, Type 1 Diabetes
date published: 2012
date modified: 2026-07-24T02:59:36Z
provider: University of Lund
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: Lund University, Faculty of Medicine, Department of Health Sciences