Ten Years of Improving Glycemic Control in Pediatric Diabetes Care: Data From the Norwegian Childhood Diabetes Registry
Authors' conclusion
Diabetes technology, carbohydrate counting, and systematic quality improvement in pediatric departments led to improved glycemic control.
Study context
- Population
- Children and youth ≤18 years with T1D in the Norwegian Childhood Diabetes Registry, 2013–202227,214 annual registrations
- Participants
- 6,775 children
- Outcome
- HbA1c
Methodological detailsnational registry-based, adjusted linear mixed-effects model
- National registry-based
- Adjusted linear mixed-effects model
Main finding
As reported in the abstract
Mean HbA1c, 2013 → 2021
8.2% → 7.2%
Proportion with HbA1c <7.0%, 2013 → 2022
13% → 43%
Insulin pump use, 2013 → 2022
65% → 91%
Continuous glucose monitoring (CGM) use, 2016 (first recorded) → 2022
34% → 97%
Observational data: associations, not effects.
Further findings
HbA1c by sex
- Girls had a higher mean HbA1c than boys
HbA1c by participation in a quality improvement project · 4 years after the project
- Mean HbA1c lower in clinics that participated in a quality improvement project
Original publication
Ten Years of Improving Glycemic Control in Pediatric Diabetes Care: Data From the Norwegian Childhood Diabetes Registry. Diabetes Care. Published 22 April 2024. doi:10.
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