Type 2 & other diabetes

Lower achievement of guideline recommended care in Canadian adults with early-onset diabetes: A population-based cohort study

Diabetes Res Clin PractPublished 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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