The status of care for youth with type 1 diabetes within and coming from humanitarian crises settings: a narrative review

Steven James; Samira Barbara Jabakhanji; Roopa Mehta; John McCaffrey; Maisoon Mairghani; Dominika Bhatia; Olive James; Sylvia Kehlenbrink; Philippa Boulle; Kiran Mejia Mehta; David Simmons; Edward W Gregg

doi:10.1186/s13031-024-00631-3

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The status of care for youth with type 1 diabetes within and coming from humanitarian crises settings: a narrative review

Journal article

Open access

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The status of care for youth with type 1 diabetes within and coming from humanitarian crises settings: a narrative review

Steven James, Samira Barbara Jabakhanji, Roopa Mehta, John McCaffrey, Maisoon Mairghani, Dominika Bhatia, Olive James, Sylvia Kehlenbrink, Philippa Boulle, Kiran Mejia Mehta, …

Conflict and Health, Vol.19(1), pp.1-13

2025

DOI: https://doi.org/10.1186/s13031-024-00631-3

PMCID: PMC11731439

PMID: 39810247

Appears in UniSC Diversity and Inclusion Research Collection

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Abstract

humanitarian crises

narrative review

refugee

type 1 diabetes

youth

UniSC Diversity Area - Life Stages

UniSC Diversity Area - Cultural and Linguistic Diversity

Background Humanitarian crises bring unique, and potentially growing challenges to people with type 1 diabetes (T1D). We aimed to determine, in youth with T1D (mean age (± 1SD) 0–17.9 years) within and coming from humanitarian crises settings (HCS), the reported prevalence that meet international consensus targets for glycaemic, blood pressure and lipid management, and incidence of severe hypoglycaemia or diabetic ketoacidosis. Methods A narrative review of quantitative data was conducted, using a systematic process. MEDLINE (Ovid), Global Health, Web of Science, Scopus, Embase, CINAHL, APA PsycINFO, Cochrane trials, and the reference lists of eligible records were searched (January 2014-February 2024); ten records covering ten separate studies were retrieved. Results Glycaemic management was consistently suboptimal in HCS. However, among individuals coming from HCS, glycaemia varied. Across both groups, data relating to blood pressure, lipids, severe hypoglycaemia or diabetic ketoacidosis were either unavailable or limited. Conclusion Findings expose the dearth of data relating to defined youth with T1D within and coming from HCS, leaving the status of this population largely uncharacterised. With limited data indicating suboptimal T1D management, there is a pressing need for the development of a consensus guideline on, and core indicators relating to such youth within and coming from HCS, plus monitoring systems and outcome data.

Details

Title: The status of care for youth with type 1 diabetes within and coming from humanitarian crises settings: a narrative review
Authors: Steven James (Corresponding Author) - University of the Sunshine Coast, Queensland, School of Health - Nursing
Samira Barbara Jabakhanji - Royal College of Surgeons in Ireland
Roopa Mehta - Royal College of Surgeons in Ireland
John McCaffrey - Royal College of Surgeons in Ireland
Maisoon Mairghani - Royal College of Surgeons in Ireland
Dominika Bhatia - Royal College of Surgeons in Ireland
Olive James - The University of Queensland
Sylvia Kehlenbrink
Philippa Boulle
Kiran Mejia Mehta - St George's, University of London
David Simmons - The University of Queensland
Edward W Gregg - Royal College of Surgeons in Ireland
Publication details: Conflict and Health, Vol.19(1), pp.1-13
Publisher: BioMed Central Ltd.
Date published: 2025
DOI: 10.1186/s13031-024-00631-3
ISSN: 1752-1505
PMID: 39810247; PMC11731439
Copyright note: This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/.
Data Availability: All data generated or analysed during this study are included in this published article [and its supplementary information files].
Grant note: This publication has emanated from research supported in part by the University of the Sunshine Coast, Australia, as part of a professional development program for Dr Steven James; and a Grant from Science Foundation Ireland under Grant number [22/RP/10091].
Organisation Unit: School of Health - Nursing
Language: English
Record Identifier: 991103245802621
Output Type: Journal article

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