Canadian Journal of Diabetes

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OBJECTIVE: Our aim in this study was to examine the potential impact of a 3-pronged digital health pilot intervention (TRIFECTA) on diabetes distress and depressive symptoms among adults with type 1 diabetes (T1D) in British Columbia. METHODS: We recruited 60 adults with T1D (mean age 38.9±15.1 years, 75% female, 77% Caucasian) who participated in the 6-month pilot intervention involving 3 digital health platforms: monthly, provider-led, group-based sessions over Zoom (virtual huddles); a WhatsApp peer texting group; and a web-based "Ask-the-expert" portal...

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AIMS: Physical activity is associated with improved health in people with type 1 diabetes (T1D). However, physical activity level may be associated with socioeconomic status. The primary aim was to investigate the association between education level and physical activity level amongst people with T1D . METHODS: In this cross-sectional study, data on physical activity level (high or low) was measured using The Saltin-Grimby Physical Activity Level Scale, and education level (low, medium, or high) were self-reported...

OBJECTIVES: The aim of this study was to determine the associations between glucocorticoid administration during chemotherapy for hematological malignancy and hyperglycemia, new-onset diabetes, and mortality in Ontario, Canada. Hospitalization and Emergency Room utilization during the chemotherapy treatment period was also described. METHODS: We conducted a retrospective cohort study using health administrative data from ICES, Ontario to investigate risk of new-onset diabetes, new-onset hyperglycemia and hyperglycemia for individuals with leukemia, non-Hodgkin lymphoma (NHL) and Hodgkin lymphoma (HL) receiving glucocorticoids during chemotherapy between 2006 and 2016...

BACKGROUND: There are many educational resources for adolescents and young adults living with type 1 diabetes; however, it is unknown if they address the breadth of topics related to transition to adult care. Our objective was to collect educational resources relevant to Canadian youth, and assess their quality and comprehensiveness in addressing the knowledge necessary for youth to prepare for interdependent management of their diabetes. METHODS: We conducted an environmental scan, a systematic assessment and analysis, of online education resources in English and French relevant to Canadian youth living with type 1 diabetes...

AIM: Diabetes is associated with an increased risk of several cancers, including postmenopausal breast cancer. The evidence for higher breast cancer risk after diabetes in pregnancy is conflicting. We compared the incidence of breast and other cancers between pregnant women with and without diabetes. METHODS: Propensity-matched retrospective cohort study using population-based healthcare databases from Ontario, Canada. Those deliveries with gestational diabetes mellitus (GDM) and pre-gestational diabetes mellitus (pre-gestational DM) were identified, and matched to deliveries without diabetes mellitus (non-DM)...

OBJECTIVE: Existing tools to predict the risk of complications among people with type 2 diabetes poorly discriminate high- from low-risk patients. The objective of this study was to develop risk prediction scores for major type 2 diabetes complications using real-world clinical care data, and to externally validate these risk scores in a different jurisdiction. METHODS: Using healthcare administrative data and electronic medical records data, risk scores were derived using data from 25,088 people with type 2 diabetes from the Canadian province of Ontario, followed between 2002 and 2017...

OBJECTIVES: The purpose of this study was to explore the perspectives of Indigenous adults on consuming beverages with non-nutritive sweeteners. METHODS: This study utilized a community-based participatory design in partnership with National Indigenous Diabetes Association, Four Arrows Regional Health Authority, and Fearless R2W. We conducted 74 qualitative interviews with Indigenous adults living in Manitoba, including Island Lake First Nations (n=39), Flin Flon (n=15), and the North End neighbourhood in Winnipeg (n=20)...

INTRODUCTION: Cardiac autonomic neuropathy (CAN) is one of the most common yet overlooked complications in Type- 2 Diabetes mellitus (T2DM). The T2DM patients with CAN show a fivefold increase in Cardiovascular morbidity and mortality. The presence of CAN in T2DM could potentially lead to arterial stiffness. However, there is sparse data available to prove this association between autonomic dysfunction and arterial stiffness in T2DM. METHODS: We recruited 80 T2DM patients and 74 healthy controls...

BACKGROUND: Type 2 diabetes mellitus (T2DM) is a prevalent chronic disease and a leading cause of morbidity/mortality in Canada. We evaluated the burden of T2DM in Alberta, Canada by estimating the five-year period prevalence of T2DM and rates of comorbidities and complications/conditions after T2DM. METHODS: We conducted a population-based retrospective study linking administrative health databases. T2DM patients (≥18 years) were identified between 2008/09-2018/19 using a published algorithm, with follow-up data to March 2020...

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BACKGROUND: Many of the adverse outcomes of gestational diabetes mellitus (GDM) are linked to excessive fetal growth, which is strongly mediated by the adequacy of maternal glycemic control. The COVID-19 pandemic led to a rapid adoption of virtual care models. We aimed to compare glycemic control, fetal growth, and perinatal outcomes before and during the COVID-19 pandemic. METHODS: A retrospective cohort study was conducted between 2017 and 2020. Singleton pregnancies complicated by GDM were included in the study...

INTRODUCTION: In Toronto, many families with Somali backgrounds have children living with type 1 diabetes (T1D). In our clinic, children from African and Caribbean backgrounds have higher HbA1c than children from European backgrounds. This study explored the experiences and perspectives of Somali Canadian families with children living with T1D, as well as healthcare professionals (HCP) who care for them, to better understand how T1D impacts these families. METHODS: We conducted three separate focus groups with Somali Canadian parents of children with T1D (n=11), Somali Canadian adolescents with T1D (n=5), and diabetes HCPs (n=9), respectively...

OBJECTIVE: Our aim in this study was to implement a newly validated algorithm to identify pregnant women with type 1 diabetes mellitus (T1DM), type 2 diabetes mellitus (T2DM), and gestational diabetes mellitus (GDM), and to identify temporal trends in rates over the last decade. We also compared obstetric and neonatal outcomes of pregnancies with and without diabetes mellitus (DM). METHODS: Among women with live births between 2005 and 2018 in Alberta, we calculated yearly rates of T1DM, T2DM, and GDM, overall, and stratified by ethnicity, urban or rural residence, material deprivation score, and maternal age...

BACKGROUND: Regular exercise is recommended for people with type 1 diabetes (PWD) to improve their health but many do not meet recommended exercise targets. Educational resources supporting PWD exercise exist, but their value is unclear. To determine the need for improved exercise resources in Australia, we surveyed adult PWD and health providers (HPs) about their confidence in managing T1D around exercise, barriers to exercise and the adequacy of current resources. METHOD: Australian adult PWD and HPs completed surveys to rate the importance of exercise in T1D management, confidence in managing T1D around exercise, barriers to giving and receiving education, resources used and what form new resources should take...

The higher prevalence of diabetes in the South Asian (SA) population living in Canada spans across generations and is often associated with individual risk factors while undermining the social determinants of health (SDOH). There is a scarcity of studies examining the perspectives of SA adolescents with a family history of type 2 diabetes mellitus (T2DM). Learning directly from the adolescents can fill an important gap by providing insight on how the SDOH contribute to disproportionate rates of T2DM in SA immigrant communities...

OBJECTIVE: Although insulin production is reportedly retained in many people with longstanding type 1 diabetes (T1D), the magnitude and relevance of connecting peptide (C-peptide) production are uncertain. In this study, we aimed to define fasted C-peptide distributions and associated clinical factors. METHODS: In a cross-sectional analysis of the Canadian Study of Longevity, fasted serum and urinary C-peptide was measured in 74 patients with longstanding T1D (duration ≥50 years) and 75 age- and sex-matched controls...

No abstract text is available yet for this article.

No abstract text is available yet for this article.