Susana R. Patton
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View article: Supporting Parents of Young Children with Type 1 Diabetes Through Telehealth: A Randomized Trial of the REDCHiP Intervention (Preprint)
Supporting Parents of Young Children with Type 1 Diabetes Through Telehealth: A Randomized Trial of the REDCHiP Intervention (Preprint) Open
BACKGROUND Parents of young children with type 1 diabetes (T1D) are vulnerable to experiencing hypoglycemia fear (FH), an emotional condition that includes persistent and intense worry about hypoglycemia and/or use of unhealthful behavior…
View article: Psychometric Properties of the Hypoglycemia Fear Survey—Parents (HFS-P) in the Portuguese Context
Psychometric Properties of the Hypoglycemia Fear Survey—Parents (HFS-P) in the Portuguese Context Open
Background/Objectives: Hypoglycemia occurs when blood glucose levels drop significantly below the normal range leading to unpleasant symptoms and a greater risk of acute complications. Fear of hypoglycemia (FH) is a conditioned psychologic…
View article: A hierarchical network model for the estimate of the energy expenditure in individuals with type 1 diabetes
A hierarchical network model for the estimate of the energy expenditure in individuals with type 1 diabetes Open
View article: Diabetes-related distress over time and its associations with glucose levels in school-aged children
Diabetes-related distress over time and its associations with glucose levels in school-aged children Open
Introduction In a cohort of families of school-age children (8–12.99 years old) with type 1 diabetes, we examined the stability of parent and child diabetes-related distress (DRD) over 6 months and the associations between parent and child…
View article: Parent Feedback on the Reducing Emotional Distress for Childhood Hypoglycemia in Parents (REDCHiP) Intervention: A Qualitative Analysis
Parent Feedback on the Reducing Emotional Distress for Childhood Hypoglycemia in Parents (REDCHiP) Intervention: A Qualitative Analysis Open
Objectives: Severe hypoglycemia is more common among young children with type 1 diabetes mellitus (T1DM) than older youth, and parents report significant hypoglycemia fear (HF). Parents experiencing HF describe constant and extreme worry a…
View article: Towards a Clinically Actionable, Electronic Health Record-Based Machine Learning Model to Forecast 90-Day Change in Hemoglobin A1c in Youth with Type 1 Diabetes: Feasibility and Model Development Study (Preprint)
Towards a Clinically Actionable, Electronic Health Record-Based Machine Learning Model to Forecast 90-Day Change in Hemoglobin A1c in Youth with Type 1 Diabetes: Feasibility and Model Development Study (Preprint) Open
Routinely collected EHR data can be used to create an ML model for predicting unit-change in HbA1c between diabetes clinic visits among youth with T1D. Future work will focus on optimizing model performance and validating the model in addi…
View article: Parental Psychosocial Variables and Glycemic Control in T1D Pediatric Age: A Systematic Review
Parental Psychosocial Variables and Glycemic Control in T1D Pediatric Age: A Systematic Review Open
Purpose of Review This review aimed to summarize the evidence regarding the relationship between parental psychosocial (e.g., fear of hypoglycemia, stress and family conflict) and glycemic outcomes in children between the age of 1–10 years…
View article: Implementing Diabetes Distress Screening in a Pediatric Endocrinology Clinic Using a Digital Health Platform: Quantitative Secondary Data Analysis
Implementing Diabetes Distress Screening in a Pediatric Endocrinology Clinic Using a Digital Health Platform: Quantitative Secondary Data Analysis Open
Background Type 1 diabetes (T1D) management requires following a complex and constant regimen relying on child or caregiver behaviors, skills, and knowledge. Psychological factors such as diabetes distress (DD), depression, and burnout are…
View article: Early Results of an Innovative Scalable Digital Treatment for Diabetes Distress in Families of School-Age Children with Type 1 Diabetes
Early Results of an Innovative Scalable Digital Treatment for Diabetes Distress in Families of School-Age Children with Type 1 Diabetes Open
Objective: This paper reports on the initial outcomes of a new mHealth intervention to reduce diabetes distress (DD) in families of school-age children living with type 1 diabetes (T1D) entitled, ‘Remedy to Diabetes Distress’ (R2D2). Metho…
View article: Digital Gaming and Exercise Among Youth With Type 1 Diabetes: Cross-Sectional Analysis of Data From the Type 1 Diabetes Exercise Initiative Pediatric Study
Digital Gaming and Exercise Among Youth With Type 1 Diabetes: Cross-Sectional Analysis of Data From the Type 1 Diabetes Exercise Initiative Pediatric Study Open
Background Regular physical activity and exercise are fundamental components of a healthy lifestyle for youth living with type 1 diabetes (T1D). Yet, few youth living with T1D achieve the daily minimum recommended levels of physical activi…
View article: The Association Between Diet Quality and Glycemic Outcomes Among People with Type 1 Diabetes
The Association Between Diet Quality and Glycemic Outcomes Among People with Type 1 Diabetes Open
Higher HEI scores correlated with improved glycemia and lower insulin needs, although the impact of diet quality was modest and smaller than the previously reported impact of exercise.
View article: Factors Affecting Reproducibility of Change in Glucose During Exercise: Results From the Type 1 Diabetes and EXercise Initiative
Factors Affecting Reproducibility of Change in Glucose During Exercise: Results From the Type 1 Diabetes and EXercise Initiative Open
Aims: To evaluate factors affecting within-participant reproducibility in glycemic response to different forms of exercise. Methods: Structured exercise sessions ~30 minutes in length from the Type 1 Diabetes Exercise Initiative (T1DEXI) s…
View article: Exploring Factors that Influence Post-Exercise Glycemia in Youth with Type 1 Diabetes in the Real World: The Type 1 Diabetes Exercise Initiative Pediatric Study (T1DEXIP)
Exploring Factors that Influence Post-Exercise Glycemia in Youth with Type 1 Diabetes in the Real World: The Type 1 Diabetes Exercise Initiative Pediatric Study (T1DEXIP) Open
Objective: To explore 24-hour post-exercise glycemia and hypoglycemia risk, data from the Type 1 Diabetes Exercise Initiative Pediatric (T1DEXIP) study were analyzed to examine factors that may influence glycemia. Research Design and Metho…
View article: Exploring Factors that Influence Post-Exercise Glycemia in Youth with Type 1 Diabetes in the Real World: The Type 1 Diabetes Exercise Initiative Pediatric Study (T1DEXIP)
Exploring Factors that Influence Post-Exercise Glycemia in Youth with Type 1 Diabetes in the Real World: The Type 1 Diabetes Exercise Initiative Pediatric Study (T1DEXIP) Open
Objective: To explore 24-hour post-exercise glycemia and hypoglycemia risk, data from the Type 1 Diabetes Exercise Initiative Pediatric (T1DEXIP) study were analyzed to examine factors that may influence glycemia. Research Design and Metho…
View article: Exploring Factors That Influence Postexercise Glycemia in Youth With Type 1 Diabetes in the Real World: The Type 1 Diabetes Exercise Initiative Pediatric (T1DEXIP) Study
Exploring Factors That Influence Postexercise Glycemia in Youth With Type 1 Diabetes in the Real World: The Type 1 Diabetes Exercise Initiative Pediatric (T1DEXIP) Study Open
OBJECTIVE To explore 24-h postexercise glycemia and hypoglycemia risk, data from the Type 1 Diabetes Exercise Initiative Pediatric (T1DEXIP) study were analyzed to examine factors that may influence glycemia. RESEARCH DESIGN AND METHODS Th…
View article: Postprandial Glucose Variability Following Typical Meals in Youth Living with Type 1 Diabetes
Postprandial Glucose Variability Following Typical Meals in Youth Living with Type 1 Diabetes Open
We explored the association between macronutrient intake and postprandial glucose variability in a large sample of youth living with T1D and consuming free-living meals. In the Type 1 Diabetes Exercise Initiative Pediatric (T1DEXIP) Study,…
View article: The Acute Effects of Real-World Physical Activity on Glycemia in Adolescents with Type 1 Diabetes: The Type 1 Diabetes Exercise Initiative Pediatric (T1DEXIP) Study
The Acute Effects of Real-World Physical Activity on Glycemia in Adolescents with Type 1 Diabetes: The Type 1 Diabetes Exercise Initiative Pediatric (T1DEXIP) Study Open
Objective: Data from the Type 1 Diabetes Exercise Initiative Pediatric (T1DEXIP) study were evaluated to understand glucose changes during activity and identify factors that may influence changes. Research Design and Methods: In this real-…
View article: The Acute Effects of Real-World Physical Activity on Glycemia in Adolescents with Type 1 Diabetes: The Type 1 Diabetes Exercise Initiative Pediatric (T1DEXIP) Study
The Acute Effects of Real-World Physical Activity on Glycemia in Adolescents with Type 1 Diabetes: The Type 1 Diabetes Exercise Initiative Pediatric (T1DEXIP) Study Open
Objective: Data from the Type 1 Diabetes Exercise Initiative Pediatric (T1DEXIP) study were evaluated to understand glucose changes during activity and identify factors that may influence changes. Research Design and Methods: In this real-…
View article: Combining uncertainty-aware predictive modeling and a bedtime<i>Smart Snack</i>intervention to prevent nocturnal hypoglycemia in people with type 1 diabetes on multiple daily injections
Combining uncertainty-aware predictive modeling and a bedtime<i>Smart Snack</i>intervention to prevent nocturnal hypoglycemia in people with type 1 diabetes on multiple daily injections Open
Objective Nocturnal hypoglycemia is a known challenge for people with type 1 diabetes, especially for physically active individuals or those on multiple daily injections. We developed an evidential neural network (ENN) to predict at bedtim…
View article: Parental diabetes distress is a stronger predictor of child HbA1c than diabetes device use in school-age children with type 1 diabetes
Parental diabetes distress is a stronger predictor of child HbA1c than diabetes device use in school-age children with type 1 diabetes Open
Introduction Diabetes distress (DD) describes the unrelenting emotional and behavioral challenges of living with, and caring for someone living with, type 1 diabetes (T1D). We investigated associations between parent-reported and child-rep…
View article: Mealtime Insulin BOLUS Score More Strongly Predicts HbA<sub>1c</sub> Than the Self-Care Inventory in Youth With Type 1 Diabetes
Mealtime Insulin BOLUS Score More Strongly Predicts HbA<sub>1c</sub> Than the Self-Care Inventory in Youth With Type 1 Diabetes Open
Background: To meet their glycated hemoglobin (HbA 1c ) goals, youth with type 1 diabetes (T1D) need to engage with their daily T1D treatment. The mealtime insulin Bolus score (BOLUS) is an objective measure of youth’s T1D engagement which…
View article: The Type 1 Diabetes and EXercise Initiative: Predicting Hypoglycemia Risk During Exercise for Participants with Type 1 Diabetes Using Repeated Measures Random Forest
The Type 1 Diabetes and EXercise Initiative: Predicting Hypoglycemia Risk During Exercise for Participants with Type 1 Diabetes Using Repeated Measures Random Forest Open
Objective: Exercise is known to increase the risk for hypoglycemia in type 1 diabetes (T1D) but predicting when it may occur remains a major challenge. The objective of this study was to develop a hypoglycemia prediction mode…
View article: An “All-Data-on-Hand” Deep Learning Model to Predict Hospitalization for Diabetic Ketoacidosis in Youth With Type 1 Diabetes: Development and Validation Study
An “All-Data-on-Hand” Deep Learning Model to Predict Hospitalization for Diabetic Ketoacidosis in Youth With Type 1 Diabetes: Development and Validation Study Open
Background Although prior research has identified multiple risk factors for diabetic ketoacidosis (DKA), clinicians continue to lack clinic-ready models to predict dangerous and costly episodes of DKA. We asked whether we could apply deep …
View article: Current Trends and Strategies for Exercise in Diabetes
Current Trends and Strategies for Exercise in Diabetes Open
From Research to Practice| May 15 2023 Current Trends and Strategies for Exercise in Diabetes Susana R. Patton 0000-0002-8902-6965 ; Susana R. Patton Diabetes Spectrum Associate Editor Search for other works by this author on: This Site Pu…
View article: Is There an Optimal Time of Day for Exercise? A Commentary on When to Exercise for People Living With Type 1 or Type 2 Diabetes
Is There an Optimal Time of Day for Exercise? A Commentary on When to Exercise for People Living With Type 1 or Type 2 Diabetes Open
Exercise is a cornerstone of diabetes self-care because of its association with many health benefits. Several studies that have explored the best time of day to exercise to inform clinical recommendations have yielded mixed results. For ex…
View article: Physical Activity Management for Youth With Type 1 Diabetes: Supporting Active and Inactive Children
Physical Activity Management for Youth With Type 1 Diabetes: Supporting Active and Inactive Children Open
Regular physical activity and exercise are important for youth and essential components of a healthy lifestyle. For youth with type 1 diabetes, regular physical activity can promote cardiovascular fitness, bone health, insulin sensitivity,…
View article: Examining the Relationship between Nighttime Glucose Values in Youth with Type 1 Diabetes and Parent Fear of Nighttime Hypoglycemia
Examining the Relationship between Nighttime Glucose Values in Youth with Type 1 Diabetes and Parent Fear of Nighttime Hypoglycemia Open
Objective. Youth with type 1 diabetes mellitus (T1D) are at risk for experiencing nighttime hypoglycemia, and many parents report significant anxiety at night regarding glucose management. Limited data exist examining continuous nighttime …
View article: An “All-Data-on-Hand” Deep Learning Model to Predict Hospitalization for Diabetic Ketoacidosis in Youth With Type 1 Diabetes: Development and Validation Study (Preprint)
An “All-Data-on-Hand” Deep Learning Model to Predict Hospitalization for Diabetic Ketoacidosis in Youth With Type 1 Diabetes: Development and Validation Study (Preprint) Open
BACKGROUND Although prior research has identified multiple risk factors for diabetic ketoacidosis (DKA), clinicians continue to lack clinic-ready models to predict dangerous and costly episodes of DKA. We asked whether we could apply deep…
View article: Correction: Applying Behavioral Economics Theories to Interventions for Persons with Diabetes
Correction: Applying Behavioral Economics Theories to Interventions for Persons with Diabetes Open
View article: Telehealth and Type 1 Diabetes Care During COVID-19: Perceptions From Youth of Color, Caregivers, and Health Care Providers
Telehealth and Type 1 Diabetes Care During COVID-19: Perceptions From Youth of Color, Caregivers, and Health Care Providers Open
Objective At the outset of the coronavirus disease 2019 (COVID-19) pandemic, health care systems rapidly implemented telehealth services to maintain continuity of type 1 diabetes care. Youth of color are more likely to have suboptimal glyc…