Diabetes Awareness Campaigns to Prevent Ketoacidosis at the Diagnosis of Type 1 Diabetes: Efficacy on Multiple Outcomes and Predictors of Success: A Systematic Review
2024

Diabetes Awareness Campaigns to Prevent Ketoacidosis in Type 1 Diabetes

Sample size: 15 publication Evidence: moderate

Author Information

Author(s): Minerba Elisa, Maines Evelina, Quaglia Nadia, Fedi Ludovica, Fanti Stefania, Fierro Alessandro, Mozzillo Enza

Primary Institution: Pediatric Diabetology Unit, Pediatric Department, S.Chiara General Hospital of Trento, Azienda Provinciale per i Servizi Sanitari

Hypothesis

The study aims to determine the efficacy of awareness campaigns to prevent diabetic ketoacidosis (DKA) in youths with type 1 diabetes and identify predictors of success.

Conclusion

The review demonstrated that DKA awareness campaigns effectively reduce DKA incidence and improve other health parameters among youths with type 1 diabetes.

Supporting Evidence

  • Awareness campaigns reduced DKA frequency from 1% to 65.5%.
  • HbA1c levels decreased by 0.7% to 5.1% after campaigns.
  • Campaigns led to a reduction in hospitalization duration.
  • Costs of campaigns were lower than treating DKA.
  • Effective campaigns targeted specific populations and used multiple communication tools.

Takeaway

This study shows that teaching people about the signs of diabetes can help kids avoid serious problems when they first get diagnosed.

Methodology

The review included studies that focused on children under 18 years old, comparing outcomes before and after implementing awareness campaigns.

Potential Biases

Potential biases include variations in campaign implementation and participant demographics across studies.

Limitations

The heterogeneity of study designs and outcomes limited the ability to conduct a meta-analysis.

Participant Demographics

The studies included children and adolescents under 18 years old, with varying demographics across different regions.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3390/jpm14121115

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