Association between Glycemic Control and Clinic Attendance in Emerging Adults with Type 1 Diabetes: A Tertiary Center Experience
Joint Authors
Phillip, Moshe
Fisher, Eldad
Lazar, Liora
Shalitin, Shlomit
Yackobovitch-Gavan, Michal
de Vries, Liat
Oron, Tal
Tenenbaum, Ariel
Lebenthal, Yael
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-07-09
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Aims.
The transition of emerging adults with type 1 diabetes (T1D) from pediatric diabetes clinics to adult clinics between 18 and 21 years of age could result in decreased clinic attendance and thus worsen glycemic control.
Our institutional policy offering surveillance till age 30 enabled us to evaluate clinic attendance without the confounding effect of transition.
Our aim was to determine the association between glycemic control (HbA1c) and attendance rate.
Methods.
The medical records of 261 (54% males) young adult T1D patients (median age 22.9 years) were reviewed.
Patients were stratified according to the attainment/nonattainment of glycemic targets (HbA1c ≤ 7% versus HbA1c > 7% (53 mmol/mol)).
The attendance rate was calculated as the number of clinic visits/number of scheduled appointments.
Results.
Median annual number of scheduled visits was 3 (3, 4); attendance rate was 75% (53.6%, 100%).
Seventy-four (28.4%) patients attained glycemic targets (median HbA1c 6.5% (48 mmol/mol) (6.3%, 6.8% (45.51 mmol/mol)); 187 (71.6%) patients had a median HbA1c of 7.8% (62 mmol/mol) (7.4%, 8.4% (57.68 mmol/mol)).
The attainment of the treatment target was more prevalent in older patients (P=0.006), in male patients (P=0.007), and in patients with higher education (P=0.017).
Higher attendance rate (β (2.483), P<0.001) and male gender (β (0.746), P=0.015) were associated with better metabolic control.
Conclusions.
In emerging adults with T1D during the ongoing stable phase of diabetes management, higher attendance rate, rather than absolute number of clinic visits, was associated with the attainment of glycemic targets.
American Psychological Association (APA)
Fisher, Eldad& Lazar, Liora& Shalitin, Shlomit& Yackobovitch-Gavan, Michal& de Vries, Liat& Oron, Tal…[et al.]. 2018. Association between Glycemic Control and Clinic Attendance in Emerging Adults with Type 1 Diabetes: A Tertiary Center Experience. Journal of Diabetes Research،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1184120
Modern Language Association (MLA)
Fisher, Eldad…[et al.]. Association between Glycemic Control and Clinic Attendance in Emerging Adults with Type 1 Diabetes: A Tertiary Center Experience. Journal of Diabetes Research No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1184120
American Medical Association (AMA)
Fisher, Eldad& Lazar, Liora& Shalitin, Shlomit& Yackobovitch-Gavan, Michal& de Vries, Liat& Oron, Tal…[et al.]. Association between Glycemic Control and Clinic Attendance in Emerging Adults with Type 1 Diabetes: A Tertiary Center Experience. Journal of Diabetes Research. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1184120
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1184120