Lower achievement of guideline recommended care in Canadian adults with early-onset diabetes: A population-based cohort study
Authors' conclusion
In our universal care setting with premium-free health care, early-onset diabetes was associated with lower rates of HbA1c testing and sub-optimal glycaemic control compared to those with usual-onset diabetes.
Study context
- Population
- Adults with incident diabetes, population-level databases, Alberta, Canada; mean age 54.1 ± 15.4 years, 42.1 % female; 18.9 % early-onset
- Participants
- 23,643 adults
- Exposure
- Early-onset vs usual-onset diabetes
- Outcome
- Frequency and results of HbA1c testing (guideline concordance)
- Follow-up
- 365 days
Main finding
As reported in the abstract
HbA1c testing
Early-onset vs Usual-onsetAdjusted odds ratio (95 % CI)
Lower frequency of testing
0.80(0.70–0.90)
Above target glycaemic levels
1.45(1.29–1.64)
Observational data: associations, not effects.
Further findings
Factors associated with guideline concordant frequency of haemoglobin A1c (HbA1c) testing
- Rural residence and insulin use were associated with guideline concordant HbA1c testing frequency
Original publication
Lower achievement of guideline recommended care in Canadian adults with early-onset diabetes: A population-based cohort study. Diabetes Res Clin Pract. Published 24 June 2024. doi:10. 1016/ j. diabres. 2024. 111756
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