Type 1 diabetes

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 CarePublished Cross-sectional study

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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