The Impact of Expanding Diabetes Services on the Trend of Glycemic Control in Children and Adolescents with Type 1 Diabetes
Authors' conclusion
Increased accessibility of the diabetes care team to children and adolescents with T1D and their families, with more frequent contact with team members, contributes significantly to the improvement of glycemic control.
Study context
- Population
- Children aged 1–16 years with T1D diagnosed ≥1 year, treated with multiple daily injections (MDI) or continuous subcutaneous insulin infusion (CSII), after initiation of a specialized children's hospital and expanded diabetes service; January 1, 2016 to December 31, 201948.9% female
- Participants
- 499 children
- Exposure
- CSII vs MDI
- Outcome
- Trend of glycemic control measured by HbA1c
- Follow-up
- 4-year follow-up
Main finding
As reported in the abstract
Mean HbA1c, whole cohort · 2016 to 2019
Mean HbA1c in 2016
10.56%
Mean HbA1c in 2019
9.89%
Drop in mean HbA1c 2016 to 2019
0.67%
p-value = 0.025
Observational data: associations, not effects.
Further findings
| Outcome | P value |
|---|---|
| HbA1c decline by treatment · 2016 to 2019Decline 0.67% with MDI vs decrease 0.47% with CSII | P = <0.001 |
- HbA1c decline by treatment — Decline in HbA1c, MDI
- 0.67%
- HbA1c decline by treatment — Decrease in HbA1c, CSII
- 0.47%
Clinic visits per patient per year · 2016 to 2019
- Average clinic visits per patient per year increased, 2016 to 2019
- 2.6 to 2.8
Visits reviewed
- Visits reviewed, total
- 3906
- Visits reviewed, CSII
- 618
- Visits reviewed, MDI
- 3,288
Safety
Emergency room (ER) visits (acute diabetes-related complications: hypoglycemia, hyperglycemia, diabetic ketoacidosis (DKA)) · 4-year period
- ER visits slightly decreased throughout the 4-year period
- P = 0.46
Original publication
The Impact of Expanding Diabetes Services on the Trend of Glycemic Control in Children and Adolescents with Type 1 Diabetes. Pediatr Diabetes. Published 9 February 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →