The association between blood glucose levels of children with type 1 diabetes mellitus and parental educational levels based on mobile health APP
10.3760/cma.j.cn431274-20230210-00127
- VernacularTitle:基于移动医疗APP探究1型糖尿病儿童血糖水平与父母受教育水平的相关性
- Author:
Dongxue ZHENG
1
;
Wenhao ZHANG
;
Xueying ZHENG
;
Sihui LUO
;
Jianping WENG
;
Chaofan WANG
Author Information
1. 中国科学技术大学附属第一医院内分泌科 中国科学技术大学内分泌与代谢病研究所 中国科学技术大学生命科学与医学部 中国科学院临床研究医院（合肥），合肥 230001
- Keywords:
Diabetes mellitus, type 1;
Child;
Mobile health;
Glycemic control;
Parental educational level
- From:
Journal of Chinese Physician
2023;25(3):330-334,341
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the correlation between blood glucose level and parental education level in children with type 1 diabetes mellitus (T1DM) based on mobile health APP.Methods:The data of T1DM children enrolled in China′s T1DM registration management program and registered to use TangTangquan ? were collected, as well as the blood glucose monitoring information uploaded quarterly after registration. Children were divided into low education group (middle school or below) and high education group (junior college or above) according to their parents′ education level. Blood glucose levels were compared between the two groups at different time points. Spearman correlation analysis and multivariate logistic regression analysis were used to evaluate the correlation between blood glucose level and parents′ education level in children with T1DM. Results:A total of 2 263 eligible children with T1DM were included and 1 246 were female (55.1%). The median age was 7.9(4.4, 11.4)years and T1DM duration was 0.07(0.02, 0.46)years. Among them, 1 513 cases were in the low-education group while 750 cases were in the high-education group. Within three years after registration, the glucose levels of each interval in the low-education group were increasing gradually (all P<0.05 except post-breakfast glucose). The glucose levels of each interval in the high-education group in the third year were lower than those in the low-education group (all P<0.05 except nocturnal glucose). The result of multivariate logistic regression analysis showed that after the adjustment of factors including T1DM duration and treatment, parental educational levels were still the separate related factors of premeal glucose, bedtime glucose and nocturnal glucose (premeal glucose: OR=0.385, 95% CI: 0.164-0.874, P=0.025; bedtime glucose: OR=0.444, 95% CI: 0.204-0.949, P=0.038; nocturnal glucose: OR=0.226, 95% CI: 0.582-0.747, P=0.020). Conclusions:The blood glucose levels of children with T1DM were negatively associated with parental educational levels. It is suggested that parental educational levels should be taken into consideration in the management of T1DM for children.
