Publications by authors named "Dayna E McGill"

Aim: To explore cross-sectional associations between executive function problems and disordered eating behaviours in teens with type 1 diabetes.

Methods: Executive function was assessed by the Behavior Rating Inventory of Executive Function (BRIEF), self-report and parent proxy-report versions. Scores ≥60 (on Global Executive Composite, Behavioral Regulation Index, Metacognition Index or clinical scales) indicated problems with executive function.

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: Teens with type 1 diabetes (T1D) often struggle with diabetes self-management, which may lead to suboptimal self-care and worsening hemoglobin A1c (HbA1c). Innovative strategies are needed to improve self-care and protect against glycemic decline, especially during adolescence. We aimed to assess the impact on HbA1c of two interventions, problem-solving and text messaging, in teens with T1D.

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Background: Consistent use of continuous glucose monitoring (CGM) has been associated with improved glycemic control in youth with type 1 diabetes (T1D). There are many barriers to device uptake and continued use. There is a need to understand patient-specific characteristics when considering CGM.

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Article Synopsis
  • The study examines depressive symptoms in youth with new-onset type 1 diabetes and those starting pump therapy over one year.
  • Findings show that most participants maintained low depression scores, but those with higher scores in the first month had a greater chance of persistence at 6 and 12 months.
  • Elevated depressive symptoms in the initial month were linked to poorer diabetes management, as indicated by higher HbA1c levels at 6 months, highlighting the importance of early screening for depression.
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Hypoglycemia and fear of hypoglycemia limit appropriate glycemic control in many children and adolescents with type 1 diabetes. Traditional approaches to the prevention of hypoglycemia including patient education about modifiable risk factors for hypoglycemia (changes in insulin, diet, and exercise) and frequency of self glucose monitoring remain important for hypoglycemia prevention. Continuous glucose monitoring systems with or without a partial closed-loop control of insulin infusion have been very useful in the prevention of hypoglycemia.

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