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Smith, L.B.* ; Lynch, K.F.* ; Driscoll, K.A.* ; Johnson, S.B.* ; TEDDY Study Group (Wendel, L. ; Winkler, C. ; Ziegler, A.-G. ; Hummel, S.)

Parental monitoring for type 1 diabetes in genetically at-risk young children: The TEDDY study.

Pediatr. Diabetes 22, 717-728 (2021)
Postprint DOI PMC
Open Access Green
OBJECTIVE: We examined parental diabetes monitoring behaviors in a cohort of children at increased genetic risk for type 1 diabetes. We hypothesized that being informed of a positive islet autoantibody (IA) would increase monitoring behaviors. METHODS: The Environmental Determinants of Diabetes in the Young (TEDDY) study follows 8676 children with high-risk HLA-DQ genotypes from birth to age 15, including general population children (GP) and those with a first-degree relative (FDR) with diabetes. Data on parental monitoring behaviors were solicited yearly. Serum samples were tested for IA and parents were informed of child results. We examined parental monitoring behaviors during the first 7 years of TEDDY. RESULTS: In IA- children, the most common monitoring behavior was participating in TEDDY study tasks; up to 49.8% and 44.2% of mothers and fathers, respectively, reported this. Among FDRs, 7-10% reported watching for diabetes symptoms and 7-9% reported monitoring the child's glucose, for mothers and fathers, respectively. After IA+ notification, all monitoring behaviors significantly increased in GP parents; only glucose monitoring increased in FDR parents and these behaviors continued for up to 4 years. FDR status, accurate diabetes risk perception, and anxiety were associated with glucose monitoring in IA+ and IA- cohorts. CONCLUSIONS: Many parents view TEDDY participation as a way to monitor for type 1 diabetes, a benefit of enrollment in a longitudinal study with no prevention offered. IA+ notification increases short- and long-term monitoring behaviors. For IA- and IA+ children, FDR parents engage in glucose monitoring, even when not instructed to do so.
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Publikationstyp Artikel: Journalartikel
Dokumenttyp Wissenschaftlicher Artikel
Korrespondenzautor
Schlagwörter Blood Glucose Self-monitoring ; Genetic Screening ; Observational Study ; Pediatrics ; Type 1 Diabetes Mellitus
ISSN (print) / ISBN 1399-543X
e-ISSN 1399-5448
Zeitschrift Pediatric Diabetes
Quellenangaben Band: 22, Heft: 5, Seiten: 717-728 Artikelnummer: , Supplement: ,
Verlag Wiley
Nichtpatentliteratur Publikationen
Begutachtungsstatus Peer reviewed
Institut(e) Institute of Diabetes Research Type 1 (IDF)