Patient Characteristics Associated With Annual Nutrition Visits in Children With Type 1 Diabetes
Authors' conclusion
Annual RD visit frequency among children with T1D is suboptimal. Study findings provide insights for targeted intervention to improve RD engagement. RD follow-up may be associated with improved glycemic outcomes.
Study context
- Population
- Patients aged <18 years with T1D for ≥1 year followed at a pediatric, tertiary care, academic medical center, 2018–2022
- Participants
- 1,982 patients6,034 completed visits
- Outcome
- Annual registered dietitian (RD) follow-up rate (RD visit in the year preceding the last diabetes medical encounter)
- Follow-up
- 5-year period (2018-2022)
Methodological detailssingle-centre, pediatric tertiary care academic medical center, generalized estimating equations models
- Single-centre
- Pediatric tertiary care academic medical center
- Generalized estimating equations models
Main finding
As reported in the abstract
Annual RD follow-up rate · 5-year period
Observed annual registered dietitian (RD) follow-up rate
20.8%
Reduction in odds of RD follow-up per year increase in age (p = 0.004)
3%
Reduction in odds of RD follow-up per year increase in diabetes duration (p<0.001)
15%
Observational data: associations, not effects.
Further findings
HbA1c within the subsequent year
- RD follow-up associated with lower HbA1c in adjusted analysis (p = 0.029); greatest improvement among Hispanic patients
Original publication
Patient Characteristics Associated With Annual Nutrition Visits in Children With Type 1 Diabetes. Pediatr Diabetes. Published 28 March 2025. doi:10. 1155/ pedi/ 4108685
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