National Trends in Hyperglycemia and Diabetic Ketoacidosis in Children, Adolescents, and Young Adults With Type 1 Diabetes: A Challenge Due to Age or Stage of Development, or Is New Thinking About Service Provision Needed?
Authors' conclusion
HbA1c and the prevalence of DKA increase through adolescence and then decline. Measurement of HbA1c, a marker of clinical review, falls abruptly in the late teenage years. Age-appropriate services are needed to overcome these issues.
Study context
- Population
- People with T1D aged 5 to 30 years, National Diabetes Audit and/or National Paediatric Diabetes Audit, England and Wales, 2017/2018–2019/2020
- Participants
- 93,125 people
- Outcome
- Median HbA1c by age and sex
- Follow-up
- Latest HbA1c per audit year
Methodological detailssequential cohorts by year of age, national audit data
- Sequential cohorts by year of age
- National audit data
Main finding
As reported in the abstract
latest HbA1c per audit year
Observational data: associations, not effects.
Original publication
National Trends in Hyperglycemia and Diabetic Ketoacidosis in Children, Adolescents, and Young Adults With Type 1 Diabetes: A Challenge Due to Age or Stage of Development, or Is New Thinking About Service Provision Needed? Diabetes Care. Published 22 May 2023. doi:10. 2337/ dc23-0180
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