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Background: The aim of this study was to determine the prevalence of cardiovascular disease (CVD) risk factors among type 1 diabetic patients referring to Isfahan Endocrine & Metabolism Research Center.

Methods: In this cross-sectional study, the prevalence of CVD risk factors including dyslipidemia, smoking and hypertension was determined in type 1 diabetic patients aged 15-30 years.  Serum cholesterol <170 mg/dl, LDL<100 mg/dl , HDL>35 mg/dl , TG<150 mg/dl, systolic blood pressure<120 mmHg and diastolic blood pressure<80 mmHg were considered as optimal control levels.

Results: Among 219 studied diabetic patients (mean age=22.5±10.3, female/male=120/99), the mean cholesterol and HDL-C level was higher in women (176±34.9, 46.4±34.1) than men (162.9±32.4 vs. 41.5±10.1) (P<0.05). The prevalence of smoking, hypercholesterolemia, LDL>100 mg/dl, HDL<35 mg/dl, hypertriglyceridemia and hypertension was 6.9% (n=15), 47.4% (n=104), 53.5% (n=117), 22.8% (n=50), 18.3% (n=40) and 7.7% (n=17), respectively. HDL<35 mg/dl was more prevalent among men as compared with women but cholesterol> 170 was more frequently detected in women (P<0.05).

Conclusion: Considering the rather high prevalence of CVD risk factors in type 1 diabetic patients in Isfahan, and in view of modifiability of these risk factors, educating patients on appropriate glycemic control and increasing physical activity is necessary as well as close monitoring of these risk factors.

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Background: Diabetes is a kind of metabolic disorder characterized by hyperglycemia, caused by defect in insulin function, secretion or both. In chronic hyperglycemia different tissues and organs, such as thyroid gland underwent histophysiological alterations. The aim of the present study was to compare the effects of type 1 and type 2diabetes on the serum levels of biochemical factors and histological changes in the thyroid gland in male Wistar rats. Methods: After induction of type 1 diabetes (Alloxan 135 mg/kg BW) and type 2diabetes (10% fructose administrated through drinking water for 8 weeks) all rats were kept for 2 months. Blood samples were collected at the beginning and in the middle and at the end of experiment for biochemical factors analysis. After that, the thyroid gland of all rats were removed and processed for histological preparation. Then the HE stained sections were examined for thyroid gland volume and follicular surface density measurements, using Cavalieri’s Principle and stereological method, respectively. Results:The results showed an increase in surface density and a decrease in thyroid volume in type 1 diabetic and type 2 diabetic groups, when compared with control. Furthermore, in type 1 diabetic group, the Triglycerid and Cholesterol levels increased and LDL level decreased, while in type 2 diabetic group, LDL and HDL levels slightly decreased. These results reveal that type 1 and type 2 diabetic conditions probably cause hypo- and hyper activity of thyroid gland, respectively.

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Background: The aim of this project is to investigate the relation between disease perception and the coping methods in confrontation with the stress of being mother of a type1 diabetic child. Methods: Statistical populations under investigation were all those mothers with type1 diabetic child Who were referred to Kermanshah Taleghani Hospital Clinic in 1392 (during summer).According to simple randomized sampling considering The Morgan method 103 mothers were selected To gather data Illness Perception Questionnaire and Coping Inventory for stressful situation were used Research design was on correlation. Statistical analyses were done through significance test o Pearson correlation coefficient and step by step regression. Results: Results has shown a significant correlation between emotional centered confrontation approach and approach of inevitable confrontation with disease perception. There is also a significant relation between emotional centered confrontation approach and the consequences of self control of disease nature, anxiety, disease cognition and emotional responses. There is significant relation between task specific centered approach and sequences, self control, disease nature, anxiety, disease cognition and emotional responses. There is significant relation between inevitable confrontation approach and sequences, self control, disease nature, anxiety and disease cognition. Also results have shown that variables including task oriented confrontation approach, emotional centered and inevitable one are good predictors of mothers with type one diabetic ‘disease perception. Conclusion: In the light of the above we can conclude that stress confrontation methods are effective on disease perception of mothers with type one diabetic child and more perception of mothers would lead to application of more proper stress confrontation methods.

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Background: Type 1 diabetes is one of the most common metabolic abnormalities in childhood, with one in every 400 to 600 children affected by the disease. The aim of study was to evaluate the effectiveness of cognitive-behavioral therapy on emotional regulation of children with type 1 diabetes.
Methods: The research design was a quasi-experimental design with pre-test, post-test and follow-up and control group. The sample of 25 children aged 8 to 13 years with type 1 diabetes was diagnosed by endocrinologist. They were randomly assigned control (n = 15) and experimental (n = 10) groups. Subjects completed an cognitive emotion regulation questionnaire (Garnefski et al., 2007) in a pre-test, post-test, and one month and a half follow-up. Data were analyzed using repeated measure analysis of variances.
Results: The results of this study showed that there was a significant difference between the mean scores of emotional regulation in pre-test, post-test and follow-up (P <0.01). Also, there was a significant difference between emotional regulation in the experimental and control groups (P <0.05).
Conclusion: Cognitive-behavioral therapy can be considered as an effective intervention to regulate the excitement of children with diabetes.
 

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Background: The mTORC1 pathway is one of the important pathways for protein synthesis in the heart, which can lead to physiological or pathological hypertrophy. Diabetes can lead to defects in this pathway. The aim of this study was to examine the effect of 4 weeks’ aerobic training on the content of mTORC1 signaling pathway proteins in heart tissue of type 1 diabetes rats.

Methods: In this experimental study, 16 Sprague-Dawley male rats (mean weight of 300 ± 20 gr) were selected and after induction of diabetes by STZ was randomly assigned into two groups: diabetic training and diabetic control. The experimental group performed HIIT training for 4 weeks’ accordance with the training program (each session 42 minutes, 10-20 m/m) for 4 weeks, while the control group did not have any training program. Dependent t-test and independent T-test were used to analyze the data
 

Results: Significant increase was observed in the content of AKT1 (p<0.015), mTOR (p<0.001), P70S6K1 (p<0.006), 4EBP1 (p<0.05) proteins in the aerobic training group compared to control group.
Conclusion: Aerobic training for 4 weeks enabled to activate the pathway AKT1/mTOR/P70S6K1 and AKT1/mTOR/4E-BP1 in mTORC1 pathway; therefore, due to cardiac complications in type 1 diabetic patients, aerobic training can lead to protein synthesis and physiological cardiac hypertrophy through mTORC1 pathway.
 

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Background: The myostatin/SMAD pathway is one of the most important regulatory pathways in heart muscle cells atrophy. Diabetes can disorder this pathway. Therefore, the aim of the present study was to evaluate the effect of six weeks of endurance training on the content myostatin and SMAD2/3 proteins in the left ventricular tissue of the heart muscle of type 1 diabetic rats.
Methods: In this study, 12 head 2-month-old male Sprague-Dawley male rats with a mean weight of 300±20 g were selected. After induction of diabetes through streptozotocin solution, they were randomly divided into 2 groups: diabetic endurance training (6 heads) and diabetic control (6 heads); The training groups performed the training program 4 days a week for 6 weeks, including 32 minutes of endurance training with an intensity of about 50 to 70% of the maximum speed; SPSS software version 23 and independent t-test were used to analyze the data. Significance level was considered p≤0.05.
Findings: Endurance training resulted in a significant decrease in myostatin (P=0.024) and SMAD2/3 (P=0.001) proteins content between training and control groups in myocardial tissue.
Conclusion: It can be said that endurance training by reducing the content of myostatin and SMAD2/3 proteins in the left ventricle of the heart may have been able to prevent cardiac atrophy in type 1 diabetic subjects. This reduction can lead to physiological cardiac hypertrophy.

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Background: Because insulin therapy cannot properly control the progression of diabetes and its complications, other alternative therapies may be desirable. The aim of this study was to investigate the effect of resistance training and endothelial stem cell injection on skeletal muscle oxidant and antioxidant status in STZ-induced diabetic male rats.
Method: In this experimental study, 36 male Wistar rats (age 6 weeks) were divided into six groups of control (healthy), basal diabetic control, diabetic control, diabetes + stem cell injection, diabetes + resistance training and diabetes + stem cell injection + resistance training. In this study, rats became diabetic intraperitoneally using streptozotocin as a single dose of 40 mg/kg. Resistance exercises including climbing a one-meter ladder with weights hanging from the tail were performed for 17 sessions. 500,000 bone-derived stem cells were injected by a cell counter. The levels of superoxide dismutase (SOD) and malondialdehyde (MDA) in skeletal muscle tissue of rat were measured by using the kit and ELISA method.
Results: The results showed that the SOD level of rats in the resistance training and endothelial stem cell injection group was significantly higher than the diabetic control group (P<0.001). Also, the level of MDA rats in the resistance training and endothelial stem cell injection group was significantly lower than the control group (P<0.001).
Conclusion: Resistance training and endothelial stem cell injections can be considered as a non-pharmacological treatment to reduce skeletal muscle complications in type 1 diabetes.
 

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Background: Type 1 diabetes is associated with decreased skeletal muscle capillary and improper regulation of angiogenesis pathways in skeletal muscle. This research intended to study the effect of resistance training and endothelial stem cell injection on βeta-actin, phosphorylated and total AKT of skeletal muscle in type 1 diabetic rats.
Methods: In this experimental study, 36 male Wistar rats (age 6 weeks) were divided into six groups of control (healthy), basal diabetic control, diabetic control, diabetes + stem cell injection, diabetes + resistance training and diabetes + stem cell injection + resistance training. In this study, rats became diabetic intraperitoneally using streptozotocin as a single dose of 40 mg/kg. Resistance exercises including climbing a one-meter ladder with weights hanging from the tail were performed for 17 sessions. 500,000 bone-derived stem cells were injected by a cell counter. The levels of βeta-actin, phosphorylated and total AKT in skeletal muscle tissue of rat were measured by using the Western blotting method.
Results: The results showed that resistance training led to significant increase in Pho-AKT, β-actin and Pho-AKT/AKT ratio and significant decrease in AKT of muscle tissue in type 1 diabetic rats (P<0.001). Injection of stem cells leads to significant increase in Pho-AKT and Pho-AKT/AKT ratio and resistance training with simultaneous injection of stem cells leads to significant increase in Pho-AKT, β-actin and significant decrease in Akt of muscle tissue in type 1 diabetic rats (P<0.001).
Conclusion: According to the results, it is possible that the intervention of resistance training with injection of stem cells can help regulate the pathways of skeletal muscle angiogenesis in type 1 diabetes.

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Background: Diabetes, as a progressive disease, can lead to decreased immune function. therefore, the aim of this study was to determine the simultaneous effect of resistance training and endothelial progenitor cell injection on immunoglobulins (IgA, IgM, IgG) of streptozotocin-induced diabetic rats.
Methods 30 rats (aged 6 weeks with a mean weight of 200±20 g) were randomly divided into groups including Diabetes + stem cell injection + resistance training (n = 6), diabetes + resistance training (n = 6), diabetes + stem cell injection (n = 6), control diabetes (n = 6) and healthy basal (n = 6) Were divided. Western blotting was used to evaluate the changes in immunoglobulins. Also, two-way analysis of variance was used for comparison between and within the group, and for better understanding of the results, the effect size, and the amount of 95% confidence interval were given.
Results: The results showed that IgA (P = 0.022), IgM (P = 0.017), IgG (P = 0.045) had significant changes between groups. Also, there was a significant difference in all three variables between the control diabetes group and the diabetes + resistance training + injection group (P≤0.05).
Conclusion: Summarizing the results of the present study, it can probably be said that resistance training and simultaneous injection of endothelial progenitor cells improve the status of immunoglobulins by training and injection. These findings suggest that resistance training and injections can be used as a treatment to improve the function of the immune system due to diabetes.

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Background: Type 1 diabetes is a disorder caused by autoimmune destruction of pancreatic insulin-producing cells. This induction of autoimmunity may be due to genetic and environmental factors. Bax and Bcl2 proteins play an important role in the process of apoptosis.
Methods: In this study, 30 male Wistar rats weighting approximately 200±20gr were randomly selected from available rats in lab (500). Subjects after 2 weeks of familiarity with the environment were randomly divided into 5 groups of 6, including (diabetes + injection, exercise) and (diabetes + exercise) and (diabetes + injection) and (diabetes control to control the passage of time) and (basic diabetes to Defaults) under the same laboratory conditions and developed type 1 diabetes by intraperitoneal injection of streptozotocin (stz) (60 mg / kg). Rats in the diabetic group and the diabetic group + stem cell injection had a total of 17 sessions of resistance training for 5 weeks.
Results: The results of the present study showed that there was no significant difference between the mean of Bax and Bcl2 in the resistance training group with simultaneous injection of stem cells and the training group.
Conclusion: The results of our study showed that performing 17 sessions of resistance training alone with stem cell injection was effective on the expression of Bax protein and Bcl2, but there was no significant difference between the effect of training alone and training with stem cells.

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Background: Unc-51 Like Autophagy Activating Kinase-1 (ULK1) and FAK Family Kinase-Interacting Protein of 200 kDa (FIP200) play an essential role in controlling autophagy and muscle volume. The aim of this research is to investigate the effect of endurance training on the intracellular content of ULK1 and FIP200 proteins in the left ventricular of rats with type 1 diabetes.
Methods: In this experimental study, 18 rats 2-month-old male Sprague-Dawley rats with a mean weight of 300±20g were selected. 12 rats became diabetic by intraperitoneal injection of Streptozotocin solutions. These rats were randomly divided into 2 groups: diabetic training and diabetic control (6 heads per group); A healthy control group (6 heads)was also considered. The training group practiced endurance training 4 days a week for 6 weeks. Data were analyzed using SPSS software version 23 and one-way ANOVA and Tukey post hoc tests.
Results: The content of ULK1 (increase) and FIP200 (decrease) after endurance training showed a significant change among the research groups in the left ventricular (P=0.0001). Tukey's post hoc test showed that this change is significant between the pair of diabetic training groups to diabetic control, diabetic training to healthy groups, and also diabetic control to healthy groups (P≤0.05).
Conclusion: Endurance training showed that it can have a dual nature to control autophagy in diabetic subjects by increasing ULK1 and decreasing FIP200. There is a need for more investigations in the field of exercise physiology on the proteins responsible for autophagy, especially in type 1 diabetes subjects.

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Background: Several proteins regulate the autophagy pathway, and one of the most important regulators is the BECLIN family proteins. Therefore, this research aims to investigate the effect of high-intensity interval training on the amount of BECLIN1/2 family autophagy proteins in the left ventricle of the heart of rats with type 1 diabetes. 
Methods: In this experimental study, 18 three-month-old male Sprague Dawley rats with an average weight of 300±20 grams were selected. 12 rats were diagnosed with type 1 diabetes through intraperitoneal injection of streptozotocin solution. These rats were randomly divided into two groups, diabetic exercise, and diabetic control; A healthy control group was also considered; The HIIT was performed for 6 weeks and 4 sessions each week including 5 bursts of 4 minutes with an intensity equal to 85-95% of the maximum speed and 3-minute active rest periods with an intensity equal to 50-60% of the maximum speed. Data analysis was done through one-way ANOVA and Tukey's post hoc tests in SPSS version 26 software. A significance level of 0.05 was considered.
Results: The intracellular content of BECLIN1 and BECLIN2 protein showed a significant decrease between the research groups in the left ventricle of the heart after six weeks of HIIT (p=0.0001).
Conclusion: It seems that BECLIN family proteins are decreased by HIIT and this can decrease the autophagy mechanism in cardiac cells.

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Background: Muscle atrophy is one of the serious complications of type 1 diabetes. Important cellular mechanisms including pathways related to mTOR protein are very important in regulating muscle mass; Therefore, this research was conducted to investigate the effect of high-intensity interval training (HIIT) on the intracellular content of the central protein of mechanical target of rapamycin 1/2 complexes in EDL skeletal muscle of rats with type 1 diabetes.
Methods: In this experimental study, 12 three-month-old male Sprague-Dawley rats with an average weight of 300±20 grams were selected. Type 1 diabetes was induced through intraperitoneal injection of streptozotocin solution (50 mg/kg of body weight). These rats were randomly divided into two groups, diabetic exercise, and diabetic control; The training group performed HIIT for six weeks at an intensity of 85-95% of maximum speed. Data analysis was done through an independent t-test in SPSS software version 28. A significance level of 0.05 was considered.
Results: The intracellular content of total and phosphorylated forms of mTOR protein showed a significant increase after six weeks of HIIT (P=0.0001). Also, the ratio of total to phosphorylated intracellular content of mTOR protein showed a significant increase in the training group compared to the control group (P=0.0001).
Conclusion: HIIT increased the intracellular content of total and phosphorylated forms of mTOR protein, which could possibly lead to protein synthesis and increased muscle hypertrophy.

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Background: Cardiac function in diabetic people is affected through different cellular mechanisms; One of these important cellular pathways is the c-Jun N-terminal kinases (JNKs), whose dysfunction can lead to heart failure; Therefore, the aim of this research is to investigate the effect of moderate intensity interval training on total and phosphorylated content of c-Jun N-terminal kinases protein in heart tissue of type 1 diabetic rats.
Methods: In this experimental study, 12 two-month-old male Sprague Dawley rats with an average weight of 300±20 grams were selected. Type 1 diabetes (blood sugar above 300) was induced to rats through intraperitoneal injection of streptozotocin (with a dose of 50 mg per kilogram of body weight) solution. The rats were randomly divided into two groups, diabetic training and diabetic control; The training group performed MIIT for four weeks at an intensity of 55-75% of maximum speed. Data analysis was done through independent t-test in GraphPad Prism software version 9.5. The significance level of the current research is P≤ 0.05.
Results: The intracellular content of JNK protein after four weeks of MIIT showed a significant decrease in both total (P= 0.01) and phosphorylated (P= 0.0001) forms. On the other hand, the ratio of total to phosphorylated intracellular content of JNK protein did not show a significant change after four weeks of MIIT (P= 0.23).
Conclusion: MIIT led to a decrease in the content of total and phosphorylated forms of JNK protein, which could possibly lead to less cell death in cardiac cells of diabetic subjects.

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Background: Diabetes can cause serious cardiovascular complications by disrupting the autophagy pathway. Therefore, this study aimed to investigate the effect of high-intensity interval training (HIIT) on the intracellular levels of autophagy proteins in the left ventricular tissue of rats with type 1 diabetes.
Methods: In this experimental study, 18 2-month-old male Sprague-Dawley rats with an average weight of 300±20 grams were selected. Twelve rats had type 1 diabetes after intraperitoneal injection of STZ (with a dose of 50 mg/kg of body weight) solution. Rats were randomly divided into two groups: diabetic training and diabetic control (each group, six heads). A healthy control group (six heads) was also considered. The training group underwent HIIT four days a week for six weeks. GraphPad Prism version 9.5 software and one-way ANOVA, and Tukey's post hoc tests were used to analyze the data. The significance level was considered P≤ 0.05.
Results: ULK1 and FIP200 levels showed a significant increase in the left ventricle after 6 weeks of HIIT training compared to the healthy control group and the diabetic control group (P= 0.0001).
Conclusion: Considering the increase in ULK1 and FIP200 proteins, it can be concluded that HIIT training can activate the autophagy pathway; Therefore, in prescribing this type of exercise for diabetic subjects, the intensity and duration of the exercise should be considered.

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Background: Type 1 diabetes is characterized by persistent hyperglycemia and leads to impaired protein synthesis and ultimately muscle breakdown and reduction in muscle function. Therefore, this research was conducted with the aim of investigating the effect of moderate intensity continuous training (MICT) on the amount of 4EBP1 in the biceps muscle of type 1 diabetic rats.
Methods: The present study is of experimental-fundamental type in which 12 2-month-old male Sprague Dawley rats with an average weight of 280±30 grams participated. To induce type 1 diabetes, streptozotocin (STZ) solution was injected intraperitoneally at a dose of 65 mg/kg. 3 days after the injection, blood sugar above 300 mg/dl was considered as an indicator of type 1 diabetes. After the induction of diabetes, the rats were randomly divided into 2 diabetic training groups (6 heads) and diabetic control groups (6 heads). The continuous training program (32 minutes with an intensity of 50-70% of maximum speed) was 8 weeks and 3 sessions every week. Data analysis was done through independent t-tests. Data analysis was done using GraphPad Prism software version 10.2.2. The significance level of the present study was considered P≤0.05.
Results: In the training group after 8 weeks of MICT, the intracellular content of phosphorylated (P=0.0001), total (P=0.0001) and the ratio of phosphorylated to total (P=0.002) protein 4EBP1 showed a significant change compared to the control group in the twin muscle tissue.
Conclusion: 4EBP1 protein seems to increase through 8 weeks of MICT and this mechanism can increase muscle synthesis in muscle tissue.

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Background: With the increasing prevalence of diabetes in children and the resulting mental pressures, attention to these patients has become a health priority in the world. Psychological distress is one of the problems of these patients that affects different aspects of their lives. It seems that enduring psychological distress can affect the psychological problems of these patients. Therefore, the present study was conducted with the aim of determining the relationship between psychological distress and tolerance of psychological distress in children with diabetes in Zahedan city.
Methods: This was a cross-sectional study. The samples included 200 children with pediatric diabetes referred to the diabetes clinic of Ali Ibn Abi Talib (AS) hospital in Zahedan and met the inclusion criteria. The data collection tool included the demographic information form and Kessler's psychological distress and Gaher's distress tolerance questionnaires, which were completed by interviewing the child. Descriptive and analytical data analysis was done using spss27 software.
Results: 52.6% of all subjects studied were girls and the average duration of infection was 22.6 months. A significant relationship was found between psychological distress and tolerance of psychological distress (r = -0.65 p < 0.001).
Conclusion: The findings showed that there is a significant and inverse correlation between psychological distress and distress tolerance. In other words, the higher the psychological distress tolerance, the less distress a person experiences. Therefore, it seems that in order to enjoy higher mental health in these patients, attention should be paid to improving their distress tolerance.

 

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Background: Type 1 diabetes mellitus or juvenile/adolescent diabetes has a significant impact on the quality of life among children and parents. Thus, the development of a deep understanding of the disease of diabetes in childhood and the ways to prevent and treat patients allows health care providers to respond to their specific needs. One of the solutions to improve the knowledge of the patients is online education. Therefore, this study designed and evaluated a childhood diabetes education website with the goal of improving the quality of care for children and reducing mortality.
Methods: This study involved three phases of content collection, website design, and evaluation. The website content information was collected from reliable library sources and created using the WordPress website design tool. Subsequently, the website content, performance, display capabilities, terminology and information retrieval, and ease of learning were evaluated by physicians and nurses.
Results: Comprehensive clinical information about pediatric diabetes was provided on the website. In the evaluation of the website content, the highest average was related to the type 1 diabetes section at a glance and the lowest average was related to the pathology section. In evaluating the website performance, the highest average was related to the overall design and the lowest average was related to the ease of use. Overall, the website performance was of good quality.
Conclusion: To increase the effectiveness of care services and reduce the complications of diseases, providing accurate and reliable information in the form of educational websites should be considered.

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Background: Recurrent diabetic ketoacidosis is one of the serious and life-threatening complications of diabetes that can lead to repeated hospitalizations and significant complications. This study was conducted with the aim of investigating the prevalence, risk factors, and clinical outcomes of recurrent diabetic ketoacidosis in southeast Iran.
Methods: In this retrospective descriptive-cross-sectional study, the medical records of 560 patients with diabetic ketoacidosis during the years 2017-2020 at Afzalipour Hospital in Kerman were reviewed. Patients with at least two admissions due to diabetic ketoacidosis were included in the study. Demographic, clinical, and laboratory data were collected and analyzed using a checklist. The collected data were analyzed using SPSS software version 25 with chi-square and independent t-tests at a significance level of 0.05.
Results: Of 560 patients, 40 patients (7.16%) had recurrent diabetic ketoacidosis. The mean age of patients was 28.36 ± 15.04 years, and 60% were women. 70% of patients had type 1 diabetes. The most common underlying causes included irregular consumption or discontinuation of insulin (72.5%) and presence of infection (55%). Substance abuse was reported in 25% of patients. The mean serum levels of urea, creatinine, and potassium were 55.23 ± 37.73 mg/dL, 0.98 ± 0.67 mg/dL, and 4.38 ± 0.64 mEq/L, respectively.
Conclusion: This study showed that patients with type 1 diabetes are at higher risk of recurrent diabetic ketoacidosis. Non-adherence to insulin therapy and infections were the most important identified risk factors. These findings emphasize the importance of patient education regarding regular insulin consumption and prevention of infections.
 

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Background: Type 1 diabetes is the most common type of diabetes affecting children and adolescents. Nursing interventions for children with type 1 diabetes include recognizing the adolescent's problems and providing technical care and emotional support. Nurses play an important role in helping adolescents and their families manage emotions, adjust treatment regimens, and integrate new routines into daily life. The aim of this systematic review is to identify and analyze effective nursing interventions in the management of type 1 diabetes in children and support their families. This study, by reviewing the available evidence, attempts to explain the role of nurses in improving clinical, psychological, and behavioral outcomes in children and promoting awareness, self-care skills, and quality of life in families.
Methods: A systematic search was conducted in the scientific databases PubMed, Scopus, Web of Science, CINAHL, SID and Magiran between 2010 and 2025. The search strategy was created using the PubMed keywords (Nursing Interventions) [title/abstract], (Type 1 Diabetes), (Child) and (Family). Systematic search with English keywords: ((Nursing Interventions[title/abstract]) AND (Type 1 Diabetes [title/abstract])) AND (Child[title/abstract])) AND (Family[title/abstract]). Out of 500 studies on nursing interventions in pediatric type 1 diabetes with more detailed review, a total of 10 studies met the inclusion criteria and were included in the final analysis.
Results: The findings showed that nursing interventions can have a significant impact on diabetes management by children and families, leading to improved adherence to treatment regimens, better blood sugar control, and increased quality of life for children and families.
Conclusion: Nursing interventions play a significant role in improving blood sugar control, increasing awareness and self-care of children with type 1 diabetes, and supporting their families. Interventions such as patient and family education, psychological counseling, regular follow-up, use of educational and care-oriented technologies, and team collaboration have been able to provide favorable results in reducing disease complications, improving quality of life, and increasing psychosocial adjustment. Accordingly, the development and implementation of evidence-based intervention programs, taking into account the individual, cultural, and social characteristics of families, is recommended to improve nursing care in children with diabetes.