Factors associated with glycaemic control in adults with Type 1 diabetes: A registry-based analysis including 7,601 individuals from 34 centres in Norway
Diabetic Medicine Oct 24, 2019
Cooper JG, Bakke Å, Dalen I, et al. - Researchers evaluated factors correlated with glycaemic control in type 1 diabetes (T1D) utilizing data from the Norwegian Diabetes Registry for Adults and Statistics Norway. The sample consisted of all people (aged ≥ 18 years) who had a T1D duration of > 2 years and a recorded value in the registry between 2013 and 2015 (n = 7,601). Using linear regression analysis, predicted mean HbA1c levels for subgroups of participants were evaluated. Investigators found that young age (18 to 25 years), low education levels, smoking, living alone, exercising infrequently, monitoring glucose infrequently, high insulin requirements, low frequency of symptomatic hypoglycaemia, history of ketoacidosis and a BMI < 18.5 kg/m2 were linked to a 2–12-mmol/mol (0.2–1.1%) higher HbA1c level. They observed that those with a diabetes duration of 10–15 years had an HbA1c level of 5-mmol/mol greater than those with a diabetes duration of 2–5 years. Findings suggested no association of glycaemic control with sex, participation (ever) in a diabetes education course, or ever experiencing serious hypoglycaemia. They recommended that better understanding and awareness of these factors, along with technological advances in diabetes management, could result in more personalized management strategies, better glycaemic control and a lower risk of diabetes complications.
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