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Patterns and Predictors Associated With Long-Term Glycemic Control in Pediatric and Young Adult Patients with Type 1 Diabetes
Örebro University, Örebro, Sweden.ORCID iD: 0000-0003-1025-1682
Region Halland, Halmstad, Sweden.
Halmstad University, School of Information Technology.ORCID iD: 0000-0002-7453-9186
Örebro University, Örebro, Sweden; The Hospital Of Halland, Kungsbacka, Sweden.
2022 (English)In: Journal of Diabetes Science and Technology, E-ISSN 1932-2968, Vol. 17, no 5, p. 1243-1251Article in journal (Refereed) Published
Abstract [en]

Background: The development of diabetes technology is rapid and requires education and resources to be successfully implemented in diabetes care management.

Method: In an observational study, we evaluated the use of advanced diabetes technology, resource utilization, and glycemic control. The study population was 725 individuals with type 1 diabetes (T1D) living in Region Halland, Sweden. The study cohort was followed for 7 years between 2013 and 2019.

Results: Children aged 0 to 17 years were associated with significantly better glucose control than young adults aged 18 to 25 years. The mean HbA1c in children and young adults was 53 mmol/mol (7.0%) compared to 61 mmol/mol (7.7%) (P <.0001), respectively. Comorbidities such as attention deficit hyperactivity disorder (ADHD), autism, and coelic disease were associated with higher HbA1c. All groups, regardless of age and comorbidity, showed a positive effect on glucose control after visiting a dietitian or psychologist. Differences were found between the age groups in terms of more use of advanced diabetes technology and more frequent visits to a physician in children compared to young adults.

Conclusions: 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. © 2022 Diabetes Technology Society.

Place, publisher, year, edition, pages
Thousand Oaks, CA: Sage Publications, 2022. Vol. 17, no 5, p. 1243-1251
Keywords [en]
CGM, diabetes management, diabetes technology, type 1 diabetes
National Category
Pediatrics
Identifiers
URN: urn:nbn:se:hh:diva-48931DOI: 10.1177/19322968221096423PubMedID: 35549729Scopus ID: 2-s2.0-85130466937OAI: oai:DiVA.org:hh-48931DiVA, id: diva2:1719805
Available from: 2022-12-16 Created: 2022-12-16 Last updated: 2023-11-28Bibliographically approved

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Galozy, Alexander

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