Paul Dimitri, Martin O Savage
Artificial intelligence in paediatric endocrinology: conflict or cooperation
Journal of pediatric endocrinology & metabolism : JPEM
gradual acquisition type 1 diabetes selfcare responsibility across childhood youth mature gain independence family understanding timing diabetes selfcare youth guide tailoring diabetes education support programs investigate parentperceived responsibility diabetes selfcare tasks across childhood parentsguardians youth ages 518 years type 1 diabetes reported parent involvement diabetes management using diabetes family responsibility questionnaire survey items divided items five domains nutrition monitoring insulin dosing communication health surveillance agegroups analyses 510 years elementary school 1114 years early adolescence 1518 years late adolescence demographic diabetes management a1c data collected time survey completion youth n 148 50 male mean age 129 33 years mean type 1 diabetes duration 62 36 years 66 used insulin pump therapy mean a1c 84 13 parents 84 mothers 91 white 83 married 52 college educated per parent report less parental involvement associated older youth age p 0001 across agegroups overall parental involvement related lower a1c p 002 youth selfcare nutrition domain began elementary school whereas selfcare monitoring insulin dosing began early adolescence selfcare regard communication started late adolescence responsibility health surveillance remained mainly parent care throughout childhood adolescence providing education support youth acquisition selfcare tasks especially relating nutrition monitoring insulin dosing may help prevent glycemic deterioration later childhood adolescence