Patterns and Predictors Associated With Long-Term Glycemic Control in Pediatric and Young Adult Patients with Type 1 Diabetes
Authors' conclusion
More frequent visits to physicians, and a visit to dietitians, and psychologists were associated with improved glucose control in individuals with T1D 0 to 25 years. Increased resources, including access to more advanced technologies, may be required in young adults with T1D.
Study context
- Population
- Individuals with T1D living in Region Halland, Sweden, followed 2013–2019
- Participants
- 725 individuals
- Exposure
- Children aged 0 to 17 years vs young adults aged 18 to 25 years
- Outcome
- HbA1c
Methodological details7-year follow-up
- 7-year follow-up
Main finding
As reported in the abstract
Children
53
mean · mmol/mol (7.0%)
Young adults
61
mean · mmol/mol (7.7%)
P < 0.0001
Observational data: associations, not effects.
Further findings
Comorbidities and HbA1c
- Attention deficit hyperactivity disorder (ADHD), autism and coeliac disease were associated with higher HbA1c
Dietitian or psychologist visit
- All groups, regardless of age and comorbidity, showed a positive effect on glucose control after visiting a dietitian or psychologist
Technology use and physician visits
- More use of advanced diabetes technology and more frequent physician visits in children vs young adults
Original publication
Patterns and Predictors Associated With Long-Term Glycemic Control in Pediatric and Young Adult Patients with Type 1 Diabetes. J Diabetes Sci Technol. Published 12 May 2022. doi:10.
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