Volume 26, Issue 4 (Avicenna Journal of Clinical Medicine-Winter 2020)                   Avicenna J Clin Med 2020, 26(4): 227-233 | Back to browse issues page


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Pirdehghan A, Razavi Z, Rajabi R. Evaluation of the Factors Influencing Diabetic Control among Adolescents with Type 1 Diabetes. Avicenna J Clin Med. 2020; 26 (4) :227-233
URL: http://sjh.umsha.ac.ir/article-1-1990-en.html
1- Associate Professor, Department of Community Medicine, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
2- Professor, Department of Pediatrics, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
3- General Practitioner, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran , raziehrajabiii71@gmail.com
Abstract:   (1080 Views)
Background and Objective: Type 1 diabetes is the most common metabolic and chronic disease in children and adolescents. This study aimed to evaluate the factors influencing diabetic control among adolescents with Type 1 diabetes.
Materials and Methods: This cross-sectional descriptive study was conducted on 205 patients aged 11-19 years with type 1 diabetes who referred to Endocrine Clinic of Besat Hospital, Hamadan, Iran, in 2019. The participants were selected based on a census sampling method and investigated in terms of factors affecting diabetic control. The data were analyzed in SPSS software (version 16). A p-value less than 0.05 was considered statistically significant.
Results: The mean age of the patients was 13.96±3.17 years, and 58% of the participants were female. Moreover, the mean values of diabetes duration and Hemoglobin A1c (HbA1c) were estimated at 5.71±3.16 years and 8.89±1.84%, respectively. Regarding treatment adherence, 35.2% of the patients had poor adherence. The prevalence rate of depression, anxiety, and stress were 51.2%, 72.2%, and 13.2% in patients, respectively. Poorly controlled diabetes based on HbA1c correlated significantly with fatherchr('39')s unemployment status and poor family support. Furthermore, the status of diabetes control based on HbA1c level had a significant correlation with the scores of stress, anxiety, and depression. However, there was a negative and significant relationship between the status of diabetes control and the number of annual referrals to the clinic.
Conclusion: This study showed that anxiety, depression, and stress led to poor control in patients with type 1 diabetes. On the other hand, increased income and family support, as well as frequent visits to the clinic improved diabetic control.
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Type of Study: Original | Subject: Endocrine & Metabolism

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