A Qualitative Study of Cognitive, Behavioral, and Psychosocial Challenges Associated With Pediatric Type 2 Diabetes in Ethnic Minority Parents and Adolescents.

Purpose The purpose of this descriptive qualitative study was to explore cognitive, behavioral, and psychosocial challenges associated with having and/or parenting an adolescent with pediatric type 2 diabetes (T2D) from the perspectives of ethnic minority parents and adolescents. Methods Ethnic minority (79.2% non-Hispanic black, 29.6% Hispanic) adolescents (n = 14, 78.6% female, 14.7 ± 1.9 years) and their parents (n = 13, 100% female) participated in either individual family interviews or multifamily focus group sessions. Sessions were audio recorded, transcribed, and coded by a team of 4 raters. QSR NVivo 10 was used to perform a content analysis and to extract coded adolescent and parent responses. Results Six themes corresponding to 3 broad categories (cognitive, behavioral, and psychosocial challenges) emerged. Regarding cognitive challenges, families described difficulties learning about a new disease and managing youth knowledge deficits and/or superficial knowledge. In terms of behavioral challenges, parents and adolescents discussed ongoing difficulties with making and maintaining positive youth health behavior changes as well as with ensuring regimen adherence. Finally, managing youth emotions related to diabetes and navigating social relationships with peers and other family members around the disclosure of T2D were the primary psychosocial challenges to emerge. Conclusions Directions for future research include developing and evaluating brief family interventions and adolescent psychosocial screening measures. Recommendations for clinical practice include increasing family knowledge of T2D, enhancing parenting skills for managing youth behavior change, and conducting routine psychosocial screening during follow-up clinic visits.

Efecto de cargas proteicas agudas de diferente origen sobre la microalbuminuria en pacientes con diabetes tipo I / Effects of an acute proteic infusion from different origins on microalbuminary and Diabetes type I patients

Con el fin de establecer los efectos de cargas proteicas de diferente origen sobre la microalbuminuria de pacientes diabéticos Tipo I, con más de 5 años de evolución de la enfermedad, y con microalbuminuria previa entre 20 - 200 mcgr/min, se le administró a 10 pacientes el equivalente a 1 gr/kg de peso corporal de proteína de origen animal (carne de res) o vegetal (fríjol). Después de la proteína vegetal la microalbuminuria disminuyó a las 2 horas 844.7 mcgr/min, y después de carne, aumentó 599 mcgr/min. La relación microalbuminuria/creatintíria aumentó un 100 por ciento después del fríjol y un 259 por ciento después de la carne. Aunque las diferencias no tuvieron significancia estadística, se deben realizar otros estudios con muestras más grandes para poder sacar conclusiones