Database: PubMedEntry: 20435792
Original site: 20435792
O'Hagan M, Harvey JN.
Glycemic control in children with type 1 diabetes in wales: influence of the
pediatric diabetes specialist nurse.
Diabetes Care. 2010 Aug;33(8):1724-6. doi: 10.2337/dc09-2304. Epub 2010 Apr 30.
OBJECTIVE: To determine whether glycemic control is improving in diabetic
children in Wales and to identify factors associated with improvement. RESEARCH
DESIGN AND METHODS: Data were collected in 2001 and 2006. RESULTS: Over time A1C
was reduced from 9.08 +/- 1.66 to 8.88 +/- 1.63% (P = 0.012). There were
differences among centers (P < 0.001) and differential changes over time
(interaction P < 0.001). Since 2001 five centers had appointed a pediatric
diabetes specialist nurse (PDSN). A1C improved in these centers from 9.59 +/-
1.88 to 8.72 +/- 1.61% (P < 0.001). Glycemic control was worse in children aged
>10 years compared with younger patients (P < 0.001). Improvement occurred in
those aged >10 years. Age (P = 0.003) and insulin dose (P < 0.001) were
positively and independently associated with A1C. Thus, any influence of PDSNs
was not achieved through increased insulin prescription. CONCLUSIONS: Improvement
in glycemic control has occurred. Worse control is associated with greater
prescribed insulin dose in older children. Appointment of PDSNs was associated
with improved glycemic control among adolescents.
This page is constructed based on the NCBI service.
No link information was found.
integrated database retrieval system