Trajectory Analysis of Glycemic Control in Adolescents with Type 1 Diabetes Mellitus at Dammam Medical Complex, Saudi Arabia
المؤلفون المشاركون
Alsada, Sherifa A.
Ba-Essa, Ebtesam M.
Alsaffar, Alya A.
المصدر
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-12-22
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Background.
Saudi Arabia is reported to have the highest number of children and adolescents with T1DM.
However, data concerning glycemic control during adolescence are lacking.
Objectives.
To determine glycemic control at transition stage from pediatric to adult clinics, determine HBA1c patterns during follow-up, and identify any clinical or demographic variables that may predict a distinctive glycemic pattern.
Design.
Observational retrospective study.
Setting.
Dammam Medical Complex, secondary care hospital.
Patients and Method.
Adolescents aged ≥12 years, with HbA1c recorded at least once a year over 4 years of follow-up, were eligible for inclusion.
A trajectory analysis from 2008 to 2019 was conducted, using latent class growth modelling (LCGM), and two-sample t-tests and Fisher’s exact tests were conducted to determine whether there was a statistically significant difference in demographic and clinical variables.
Sample Size.
44 patients.
Results.
61.36% were referred from pediatric clinics, and 84% were on multiple insulin daily injections.
For the trajectory prediction, two groups were identified.
Group 1 comprised 71.7%, had high HbA1c values at age 13 (HbA1c, 11.28%), and had a significant and stable decrease in HbA1c values with age (−0.32, p<0.00).
Group 2 comprised 28.2%, showed poor HbA1c values at age 13 (HbA1c, 13.28%), and showed increase in HbA1c values slightly by age 15, which then steadily decreased with age (−0.27).
Results indicated that the initial HBA1c value was a significant predictor for group trajectory p=0.01, while the remaining variables did not have any significance.
Conclusion.
Our study identified two groups with poorly controlled diabetes; however, the first group performed relatively better than the second group.
Both groups almost doubled their targets, with a trend towards HbA1c reduction by the age of 19 in both groups.
Limitations.
Retrospective study with convenient, small sample size.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Alsada, Sherifa A.& Ba-Essa, Ebtesam M.& Alsaffar, Alya A.. 2020. Trajectory Analysis of Glycemic Control in Adolescents with Type 1 Diabetes Mellitus at Dammam Medical Complex, Saudi Arabia. Advances in Medicine،Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1126726
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Alsada, Sherifa A.…[et al.]. Trajectory Analysis of Glycemic Control in Adolescents with Type 1 Diabetes Mellitus at Dammam Medical Complex, Saudi Arabia. Advances in Medicine No. 2020 (2020), pp.1-5.
https://search.emarefa.net/detail/BIM-1126726
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Alsada, Sherifa A.& Ba-Essa, Ebtesam M.& Alsaffar, Alya A.. Trajectory Analysis of Glycemic Control in Adolescents with Type 1 Diabetes Mellitus at Dammam Medical Complex, Saudi Arabia. Advances in Medicine. 2020. Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1126726
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1126726
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر