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3 results on '"Lucia Ferrito"'

1. Weekend-Based Parent-Group Intervention to Reduce Stress in Parents of Children and Adolescents with Type 1 Diabetes: A Pilot Study

Author

Lucia Ferrito, Barbara Predieri, Dorina Pjetraj, Maria Cristina Alessandrelli, Manuela Pagnini, Antonio Iannilli, Monica Marino, Stefano Tombolini, Basilio Pintaudi, Giuseppe Lucisano, Fabiana Zani, Lorenzo Iughetti, Antonio Nicolucci, and Valentino Cherubini

Subjects
Diseases of the endocrine glands. Clinical endocrinology, RC648-665
Abstract

Diagnosis of type 1 diabetes (T1D) in a child is often associated with anger, denial, fear, and depression from the parents. The aim of the study was to improve parents’ adaptation to the diagnosis of diabetes of their child. Sixty-two parents (29 mothers, 33 fathers) of 36 children with type 1 diabetes (mean age=11.3‐3.3 years; diabetes duration>1 year; HbA1c=57±11 mmol/mol) participated in a three-day educational working group pilot intervention study. Intervention was based on the reexamination of the traumatic event of diagnosis of T1D through spatial and time-line anchorage, retracing of the future, emotional awareness, and interactive discussion. Relaxing technique, diaphragmatic breathing, and guided visualization were used by 2 psychologists and 1 pediatric endocrinologist. The study was approved by EC and participants filled a consent form. At baseline and after intervention, parents filled in a questionnaire including Diabetes-Related Distress (DRD), Parent Health Locus of Control Scale (PHLOC), Parent Stress Index Short Form (PSI-SF), Hypoglycemia Fear Survey-Parents (HFS-P) and Hypoglycemia Fear Survey-Parents of Young Children (HFS-P-YC), and Health Survey Short Form-36 (SF-36). Three months after the intervention, both parents reported a reduction in the “difficult child” subscale of the PSI-SF (p

Published
2019
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2. Optimal predictive low glucose management settings during physical exercise in adolescents with type 1 diabetes

Author

Andrea Scaramuzza, Claudia Ventrici, Valentino Cherubini, Riccardo Schiaffini, Sonia Toni, Federica Ortolani, Davide Tinti, Stefano Tumini, Paola Cipriano, Edlira Skrami, Nicola Minuto, Giuseppe d'Annunzio, Ivana Rabbone, Rosaria Gesuita, Riccardo Bonfanti, Fortunato Lombardo, C. Arnaldi, Lorenzo Lenzi, Lucia Ferrito, Annapaola Frongia, Elvira Piccinno, Ohad Cohen, Cherubini, V., Gesuita, R., Skrami, E., Rabbone, I., Bonfanti, R., Arnaldi, C., D'Annunzio, G., Frongia, A., Lombardo, F., Piccinno, E., Schiaffini, R., Toni, S., Tumini, S., Tinti, D., Cipriano, P., Minuto, N., Lenzi, L., Ferrito, L., Ventrici, C., Ortolani, F., Cohen, O., and Scaramuzza, A.

Subjects
Blood Glucose, Male, Diabetes duration, Endocrinology, Diabetes and Metabolism, insulin pump therapy, Pediatrics, Low glucose, Endocrinology, 0302 clinical medicine, Insulin, Medicine, 030212 general & internal medicine, continuous subcutaneous insulin infusion, Continuous glucose monitoring, CGM, continuous glucose monitoring, continuous subcutaneous insulin infusion, insulin pump therapy, predictive low glucose suspend, SAP, thresholds, Internal Medicine, Pediatrics, Perinatology and Child Health, Endocrinology, Diabetes and Metabolism, Perinatology and Child Health, Diabetes and Metabolism, Calibration, continuous glucose monitoring, Female, SAP, Adult, medicine.medical_specialty, Adolescent, Injections, Subcutaneous, 030209 endocrinology & metabolism, Physical exercise, Hypoglycemia, Young Adult, 03 medical and health sciences, Insulin Infusion Systems, Internal medicine, Diabetes mellitus, Internal Medicine, Humans, Exercise, Type 1 diabetes, predictive low glucose suspend, CGM, business.industry, Blood Glucose Self-Monitoring, Significant difference, thresholds, medicine.disease, Diabetes Mellitus, Type 1, Pediatrics, Perinatology and Child Health, Preventive Medicine, business
Abstract

Objectives To assess the optimal setting of the predictive low glucose management (PLGM) algorithm for preventing exercise-induced hypoglycemia in adolescents with type 1 diabetes. Methods Thirty-four adolescents, 15 to 20 years, wearing PLGM system, were followed during 3 days exercise during a diabetes camp. PLGM threshold was set at 70 mg/dL between 8 am and 10 pm and 90 mg/dL during 10 pm and 8 am Adolescents were divided into group A and B, with PLGM threshold at 90 and 70 mg/dL, respectively, during exercise. Time spent in hypoglycemia and AUC for time slots 8 am to 1 pm, 1 to 4 pm, 4 to 11 pm, 11 pm to 3 am, 3 to 8 am, in 3 days were compared between groups by Wilcoxon rank sum test. Results We analyzed 31 patients (median age 15.0 years, 58.1% males, median diabetes duration 7.0 years, hemoglobin A1c [HbA1c] 7.1%). No significant difference has been observed in time spent in hypoglycemia between groups using threshold 70 or 90. Time spent in target was similar in both groups, as well as time spent in hypo or hyperglycemia. The trends of blood glucose over the 3 days in the 2 groups over-lapped without significant differences. Conclusions A PLGM threshold of 90 mg/dL during the night was associated with reduced time in hypoglycemia in adolescents doing frequent physical exercise, while maintaining 65.1% time in range during the day. However, a threshold of 70 mg/dL seems to be safe in the duration of the physical exercise. PLGM system in adolescents with type 1 diabetes was effective to prevent hypoglycemia during and after exercise, irrespective of the PLGM thresholds used.

Published
2018
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3. The role of socio-economic and clinical factors on HbA1c in children and adolescents with type 1 diabetes: an Italian multicentre survey

Author

Lucia Ferrito, Paola Frongia, Dario Iafusco, Riccardo Schiaffini, Sonia Toni, Ivana Rabbone, Andrea Scaramuzza, Riccardo Bonfanti, Flavia Carle, N. Sulli, Renata Paleari, Fortunato Lombardo, Paola Cipriano, Rosaria Gesuita, Valentino Cherubini, Antonio Iannilli, Edlira Skrami, Enza Mozzillo, Alessandro Salvatoni, and A. Sabbion

Subjects
Type 1 diabetes, Pediatrics, medicine.medical_specialty, business.industry, Cross-sectional study, Endocrinology, Diabetes and Metabolism, 030209 endocrinology & metabolism, Odds ratio, medicine.disease, Logistic regression, Confidence interval, 03 medical and health sciences, Carbohydrate counting, 0302 clinical medicine, Diabetes management, Pediatrics, Perinatology and Child Health, Internal Medicine, medicine, 030212 general & internal medicine, business, Socioeconomic status, Demography
Abstract

Objective To identify the role of the family's socio-economic and clinical characteristics on metabolic control in children and adolescents with type 1 diabetes. Methods In this cross-sectional, multicentre study, 768 subjects with type 1 diabetes under 18 years of age were consecutively recruited from January 2008 to February 2009. Target condition was considered for HbA1c values

Published
2016
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