Challenges in achieving adequate glycemic control among children with type 1 diabetes mellitus in a resource-limited setting: A cross-sectional study from Sudan
Authors' conclusion
An exceptionally low proportion of children with T1DM achieved adequate glycemic control, with adolescents particularly struggling. SMBG frequency and family dynamics emerged as potential factors, highlighting the urgent need for tailored interventions and improved diabetes education in resource-limited settings.
Study context
- Population
- Children aged 1–18 years with T1D diagnosed >1 year, under regular follow-up at a pediatric diabetes clinic, Wad-Madani City, Sudan
- Participants
- 211 children
- Outcome
- Glycemic control
Methodological detailsobservational, single referral centre
- Observational
- Single referral centre
Main finding
As reported in the abstract
Adequate glycemic control
Achieved adequate glycemic control
6.2 %
Poor control in adolescents
97.8 %
Mean HbA1c
10.4 %
90 mmol/mol
Observational data: associations, not effects.
Further findings
Factors associated with inferior glycemic control
- Inferior control associated with advancing age, older age at diagnosis, single-parent households, less frequent self-monitoring of blood glucose (SMBG), and more siblings or household members
≥1 diabetes ketoacidosis (DKA) episode in previous year
- ≥1 DKA episode
- 33.8 %
Diabetes complications
%
- Lipodystrophy
- 34.1
- Arthropathy
- 25.1
Original publication
Challenges in achieving adequate glycemic control among children with type 1 diabetes mellitus in a resource-limited setting: A cross-sectional study from Sudan. Diabetes Res Clin Pract. Published 23 January 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →