The status of care for youth with type 1 diabetes within and coming from humanitarian crises settings: a narrative review
Abstract Background Humanitarian crises bring unique, and potentially growing challenges to people with type 1 diabetes (T1D). We aimed to determine, in youth with T1D (mean age (± 1SD) 0–17.9 years) within and coming from humanitarian crises settings (HCS), the reported prevalence that meet interna...
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2025-01-01
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| Online Access: | https://doi.org/10.1186/s13031-024-00631-3 |
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| author | Steven James Samira B. Jabakhanji Roopa Mehta John McCaffrey Maisoon Mairghani Dominika Bhatia Olive James Sylvia Kehlenbrink Philippa Boulle Kiran Mejia Mehta David Simmons Edward W. Gregg |
| author_facet | Steven James Samira B. Jabakhanji Roopa Mehta John McCaffrey Maisoon Mairghani Dominika Bhatia Olive James Sylvia Kehlenbrink Philippa Boulle Kiran Mejia Mehta David Simmons Edward W. Gregg |
| author_sort | Steven James |
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| description | Abstract Background Humanitarian crises bring unique, and potentially growing challenges to people with type 1 diabetes (T1D). We aimed to determine, in youth with T1D (mean age (± 1SD) 0–17.9 years) within and coming from humanitarian crises settings (HCS), the reported prevalence that meet international consensus targets for glycaemic, blood pressure and lipid management, and incidence of severe hypoglycaemia or diabetic ketoacidosis. Methods A narrative review of quantitative data was conducted, using a systematic process. MEDLINE (Ovid), Global Health, Web of Science, Scopus, Embase, CINAHL, APA PsycINFO, Cochrane trials, and the reference lists of eligible records were searched (January 2014-February 2024); ten records covering ten separate studies were retrieved. Results Glycaemic management was consistently suboptimal in HCS. However, among individuals coming from HCS, glycaemia varied. Across both groups, data relating to blood pressure, lipids, severe hypoglycaemia or diabetic ketoacidosis were either unavailable or limited. Conclusion Findings expose the dearth of data relating to defined youth with T1D within and coming from HCS, leaving the status of this population largely uncharacterised. With limited data indicating suboptimal T1D management, there is a pressing need for the development of a consensus guideline on, and core indicators relating to such youth within and coming from HCS, plus monitoring systems and outcome data. |
| format | Article |
| id | doaj-art-811a7692bb2445c5ae315a19a1570132 |
| institution | Kabale University |
| issn | 1752-1505 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Conflict and Health |
| spelling | doaj-art-811a7692bb2445c5ae315a19a15701322025-01-19T12:25:45ZengBMCConflict and Health1752-15052025-01-0119111310.1186/s13031-024-00631-3The status of care for youth with type 1 diabetes within and coming from humanitarian crises settings: a narrative reviewSteven James0Samira B. Jabakhanji1Roopa Mehta2John McCaffrey3Maisoon Mairghani4Dominika Bhatia5Olive James6Sylvia Kehlenbrink7Philippa Boulle8Kiran Mejia Mehta9David Simmons10Edward W. Gregg11School of Health, University of the Sunshine CoastSchool of Population Health, RCSI University of Medicine and Health SciencesDepartamento de Endocrinología y Metabolismo, Unidad de Investigación en Enfermedades Metabolicas, Instituto Nacional de Ciencias Médicas y Nutrición, Salvador ZubiránSchool of Population Health, RCSI University of Medicine and Health SciencesSchool of Population Health, RCSI University of Medicine and Health SciencesSchool of Population Health, RCSI University of Medicine and Health SciencesSchool of Biomedical Sciences, University of QueenslandDivision of Endocrinology, Diabetes and Hypertension, Brigham and Women’s HospitalMédecins Sans FrontièresMedicine, St. Georges, University of LondonSchool of Medicine, Western Sydney UniversitySchool of Population Health, RCSI University of Medicine and Health SciencesAbstract Background Humanitarian crises bring unique, and potentially growing challenges to people with type 1 diabetes (T1D). We aimed to determine, in youth with T1D (mean age (± 1SD) 0–17.9 years) within and coming from humanitarian crises settings (HCS), the reported prevalence that meet international consensus targets for glycaemic, blood pressure and lipid management, and incidence of severe hypoglycaemia or diabetic ketoacidosis. Methods A narrative review of quantitative data was conducted, using a systematic process. MEDLINE (Ovid), Global Health, Web of Science, Scopus, Embase, CINAHL, APA PsycINFO, Cochrane trials, and the reference lists of eligible records were searched (January 2014-February 2024); ten records covering ten separate studies were retrieved. Results Glycaemic management was consistently suboptimal in HCS. However, among individuals coming from HCS, glycaemia varied. Across both groups, data relating to blood pressure, lipids, severe hypoglycaemia or diabetic ketoacidosis were either unavailable or limited. Conclusion Findings expose the dearth of data relating to defined youth with T1D within and coming from HCS, leaving the status of this population largely uncharacterised. With limited data indicating suboptimal T1D management, there is a pressing need for the development of a consensus guideline on, and core indicators relating to such youth within and coming from HCS, plus monitoring systems and outcome data.https://doi.org/10.1186/s13031-024-00631-3Humanitarian crisesNarrative reviewRefugeeType 1 diabetesYouth |
| spellingShingle | Steven James Samira B. Jabakhanji Roopa Mehta John McCaffrey Maisoon Mairghani Dominika Bhatia Olive James Sylvia Kehlenbrink Philippa Boulle Kiran Mejia Mehta David Simmons Edward W. Gregg The status of care for youth with type 1 diabetes within and coming from humanitarian crises settings: a narrative review Conflict and Health Humanitarian crises Narrative review Refugee Type 1 diabetes Youth |
| title | The status of care for youth with type 1 diabetes within and coming from humanitarian crises settings: a narrative review |
| title_full | The status of care for youth with type 1 diabetes within and coming from humanitarian crises settings: a narrative review |
| title_fullStr | The status of care for youth with type 1 diabetes within and coming from humanitarian crises settings: a narrative review |
| title_full_unstemmed | The status of care for youth with type 1 diabetes within and coming from humanitarian crises settings: a narrative review |
| title_short | The status of care for youth with type 1 diabetes within and coming from humanitarian crises settings: a narrative review |
| title_sort | status of care for youth with type 1 diabetes within and coming from humanitarian crises settings a narrative review |
| topic | Humanitarian crises Narrative review Refugee Type 1 diabetes Youth |
| url | https://doi.org/10.1186/s13031-024-00631-3 |
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