Speaker Credentials
OMS-III
Speaker Credentials
BS
College
Dr. Kiran C. Patel College of Osteopathic Medicine, DO
Medical Specialty
Pediatrics
Format
Poster
Start Date
November 2024
End Date
November 2024
Track
1
Abstract
Objective: Adolescents with diabetes mellitus (DM) have worse glycemic outcomes and lower adherence to self-management regimens than other age groups. The COVID-19 pandemic posed new DM self-management barriers for adolescents tied to social distancing measures and additional stressors. We conducted a scoping review of peer-reviewed literature to examine self-management regimens and outcomes among adolescents ages 10-17 years with type 1 and type 2 DM during the pandemic. Methods: Our scoping review followed the PRISMA-ScR guidelines. We searched three online databases, screened articles via a rigorous process, and assessed articles for bias using the JBI Critical Appraisal Checklists. We synthesized included articles’ findings across six thematic areas: glycemic control/monitoring, insulin administration/regimens, weight/lifestyle behaviors, inpatient care/acute complications, outpatient care/telemedicine utilization, and psychosocial well-being. Results: Findings from the included articles (n=32) varied. Recurring findings included that adolescents who used continuous glucose monitoring (CGM), regularly adjusted their insulin doses, and utilized telemedicine typically maintained glycemic stability or improved their control during the pandemic. However, adolescents gained weight, reduced their physical activity, worsened their diet and sleep habits, and reported higher stress, which negatively affected their glycemic control. Rates of acute complications and hospitalizations among adolescents varied. Telemedicine was widely utilized and viewed positively by adolescents with DM. Conclusion: Adolescents with DM experienced various physical, behavioral, and psychosocial issues during the COVID-19 pandemic. Further research and multi-level interventions are needed to improve and sustain adolescents’ DM self-management outcomes, particularly focused on empowering adolescents to use CGM, increase physical activity, improve dietary habits, and reduce stress.
Included in
Diabetes Management among Adolescents during the COVID-19 Pandemic: A Scoping Review
Objective: Adolescents with diabetes mellitus (DM) have worse glycemic outcomes and lower adherence to self-management regimens than other age groups. The COVID-19 pandemic posed new DM self-management barriers for adolescents tied to social distancing measures and additional stressors. We conducted a scoping review of peer-reviewed literature to examine self-management regimens and outcomes among adolescents ages 10-17 years with type 1 and type 2 DM during the pandemic. Methods: Our scoping review followed the PRISMA-ScR guidelines. We searched three online databases, screened articles via a rigorous process, and assessed articles for bias using the JBI Critical Appraisal Checklists. We synthesized included articles’ findings across six thematic areas: glycemic control/monitoring, insulin administration/regimens, weight/lifestyle behaviors, inpatient care/acute complications, outpatient care/telemedicine utilization, and psychosocial well-being. Results: Findings from the included articles (n=32) varied. Recurring findings included that adolescents who used continuous glucose monitoring (CGM), regularly adjusted their insulin doses, and utilized telemedicine typically maintained glycemic stability or improved their control during the pandemic. However, adolescents gained weight, reduced their physical activity, worsened their diet and sleep habits, and reported higher stress, which negatively affected their glycemic control. Rates of acute complications and hospitalizations among adolescents varied. Telemedicine was widely utilized and viewed positively by adolescents with DM. Conclusion: Adolescents with DM experienced various physical, behavioral, and psychosocial issues during the COVID-19 pandemic. Further research and multi-level interventions are needed to improve and sustain adolescents’ DM self-management outcomes, particularly focused on empowering adolescents to use CGM, increase physical activity, improve dietary habits, and reduce stress.