A5026810128- Diabetes Management and Research
- Diabetes and associated disorders
- Pancreatic function and diabetes
- Diabetes Treatment and Management
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Adolescent and Pediatric Healthcare
- Mobile Health and mHealth Applications
- Chronic Disease Management Strategies
- Diabetes Management and Education
- Social Policies and Healthcare Reform
- Childhood Cancer Survivors' Quality of Life
- Diet and metabolism studies
- Medical and Health Sciences Research
- Bipolar Disorder and Treatment
- Digitalization, Law, and Regulation
- Health and Medical Studies
- Pharmacological Effects and Toxicity Studies
- Heart Failure Treatment and Management
- Clinical practice guidelines implementation
- Skin Diseases and Diabetes
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Smoking Behavior and Cessation
- Antiplatelet Therapy and Cardiovascular Diseases
- Wireless Body Area Networks
- Medicine, History, and Philosophy
University Hospital Schleswig-Holstein
2016-2025
University of Lübeck
2016-2025
Universitäres Kinderwunschzentrum Lübeck
2016-2025
Forschungsgemeinschaft für elektrische Anlagen und Stromwirtschaft
2017-2021
Klinik und Poliklinik für Kinder- und Jugendmedizin
2019
OBJECTIVE To investigate temporal trends and contemporary use of insulin pump therapy glucose monitoring in type 1 diabetes. RESEARCH DESIGN AND METHODS In a population-based study, we analyzed the therapy, continuous (CGM), self-monitoring blood (SMBG) from 1995 to 2017 patients with diabetes identified Diabetes Prospective Follow-up (DPV) database Germany Austria. Patients were stratified by age, sex, migration background, country. RESULTS Among 96,547 (median age 17.9 years, 53% males),...
Die Verbesserung der Versorgung von Kindern und Jugendlichen mit Diabetes mellitus ist eine wesentliche Aufgabe Arbeitsgemeinschaft für Pädiatrische Diabetologie (AGPD).
Abstract Aims To improve the quality of care in children with Type 1 diabetes who have limited access to specialized rural areas, by providing a mobile education and team, affiliated University hospital paediatric centre. Methods A cohort 107 their families from eight hospitals was followed between July 2000 2002. Parameters on metabolic control (HbA 1c , hospitalization rate number episodes severe hypoglycaemia), knowledge life at baseline (t 0 ), 6 weeks ) months 2 after interventions were...
Die Erstellung der evidenzbasierten Leitlinie erfolgte im Auftrag Deutschen Diabetes Gesellschaft (DDG). Deutsche wird vertreten durch den jeweiligen Präsidenten (2015 – 2017 Prof. Dr. B. Gallwitz) und die Leitlinienbeauftragte DDG (Frau Monika Kellerer).
To explore the outcomes of monthly video consultations for children with diabetes.The Virtual Outpatient Diabetes Clinic Children and Youth (VIDIKI) was a 6-month multicenter controlled clinical trial followed by an extension phase. The 240 participants (1-16 years), all using CGM, were quasi-randomized residence location to intervention group (IG) or waitlist-control (WG). IG started immediately after enrollment as add-on regular care, while WG received care 6 months before starting...
Achieving glycemic targets in youth and young adults with type 1 diabetes (T1D) is challenging. Diabetes devices, including continuous glucose monitors (CGM) may impact control. We analyzed the proportion of CGM use T1D at nine U.S. Exchange Quality Improvement (T1DX-QI) Collaborative centers 402 European prospective follow-up registry (Diabetes-Patienten-Verlaufsdokumentation [DPV]) sites from 2017 to 2020 examined association control as measured by hemoglobin A1c (HbA1c). increased each...
Background: Optimal usage of continuous glucose monitoring (CGM) requires adequate training the users. Providing patients with a CGM system without such usually doesn’t lead to intended improvement in metabolic control. Methods: In Germany we developed structured program (“SPECTRUM”) ensure high quality standard for use systems. Results: This is suitably all age groups and applicable systems forms insulin therapy. A curriculum was also so that centers less experience could become capable...
Background: The introduction of continuous glucose monitoring (CGM) implies new challenges for diabetes care. As CGM systems are often directly linked to a web-based software solution, structured telemedicine care using video-consultation may be option families who children with type 1 mellitus (T1DM). Methods: “ViDiKi” (Virtual Diabetes Outpatient Clinic Children and Youth) is multicenter controlled trial carried out in Northern Germany. ViDiKi will examine if monthly telemedical...
Background: Despite increasing use of technology in type 1 diabetes, persistent ethnic and socio-economic disparities have been reported. We analyzed how the insulin pump therapy continuous glucose monitoring (CGM) evolved over years Germany depending on demographics area deprivation. Method: investigated CGM between 2016 2019 37,798 patients with diabetes aged < 26 from German Prospective Follow-up Registry (DPV). Associations federal state, area-deprivation quintile (German Index...
Abstract Background Smoking is a risk factor for cardiovascular complications and can promote severe course of COVID-19 infection. The aim this study was to compare smoking habits young people with diabetes the general population. Methods We analyzed behavior in Diabetes Prospective Follow-up Registry (DPV) cohort (type 1 (T1D) type 2 (T2D) from Germany T1D Austria aged 14–24 years) compared it data German survey on (DEBRA study) Data were aggregated per year patient 2016–2023. Logistic...
The latest American Association of Clinical Endocrinologists/American College Endocrinologists consensus statement published in 2014 does not recommend continuous subcutaneous insulin infusion (CSII) patients with mental health problems. This study investigated the use and discontinuation CSII daily routine care type 1 diabetes (T1D) or without comorbid disorders.Insulin-treated T1D (n = 48,700) between 5 30 years age (median [interquartile range], 15.6 [12.0-17.7] years) from...
Video consultations are promoted as a tool to effectively supplement paediatric diabetes outpatient care. However, knowledge about attitudes of professionals towards this new technology is lagging behind. Diabetologists and nurses participating in controlled study (the VIDIKI study) with monthly video for children type 1 were interviewed their experience communication.Guideline-based qualitative interviews 9 telemedicine experts (7 diabetologists 2 nurses) 7 who agreed the telemedical...
To explore parents' expectations of the perceived barriers to and benefits 1 year monthly video consultations combined with regular outpatient care children type diabetes.The Virtual Diabetes Outpatient Clinic for Children Youth (VIDIKI) study was a controlled, multicentre, perennial 240 participants from northern Germany. Fifty-four qualitative interviews parents were analysed using content analysis. Before intervention, 30 conducted assess expectations, after year, 24 evaluated experienced...
AimsTo examine psychometric properties including the factor structure of German versions Diabetes Treatment Satisfaction Questionnaire for teens and parents (DTSQ-T/-P).MethodsLinguistically validated questionnaires were completed by 363 adolescents with type 1 diabetes 655 parent-caregivers in a multicenter study. Confirmatory analysis (CFA), reliability, correlations examined.ResultsCFA confirmed 2-factor model treatment satisfaction (TS) & perceived control (PDC) an adjustment removing...
<b>Background:</b> Data on regional differences in the quality of medical care Germany are scarce. This study aimed to compare outcome and treatment pediatric patients with type 1 diabetes between federal states Germany. <b>Methods:</b> 24 928 (< 18 years age) German residence were selected from Diabetes-Patienten-Verlaufsdokumentation database. Indicators HbA<sub>1C</sub>, overweight prevalence, rate severe hypoglycemia. To reflect treatment, use insulin pumps rapid-acting or long-acting...
Zusammenfassung Hintergrund Inklusion von Kindern mit Diabetes mellitus Typ 1 in Bildungseinrichtungen bedarf einer Umsetzung des Insulinmanagements auch außer Haus. Dafür benötigen Kinder bis zum 12. Lebensjahr altersabhängige Unterstützung. Methoden Bundesweite Onlinebefragung Eltern an insulinpflichtigem erkrankten Kindern, die einen Kindergarten oder Schule besuchen, bezüglich Betreuungssituation, Teilhabeleistungen, Teilhabeeinschränkungen sowie Auswirkungen auf berufliche Tätigkeit der...