Patterns and Predictors Associated With Long-Term Glycemic Control in Pediatric and Young Adult Patients with Type 1...

Area of Science:

• Endocrinology
• Metabolic Diseases
• Pediatric Endocrinology

Background:

• Diabetes technology is rapidly evolving, necessitating adequate education and resources for effective diabetes care management.
• Successful implementation of advanced diabetes technology requires a supportive infrastructure and patient education.

Purpose of the Study:

• To evaluate the utilization of advanced diabetes technology, resource allocation, and glycemic control in individuals with type 1 diabetes (T1D).
• To compare outcomes between different age groups and identify factors influencing glycemic control in T1D management.

Main Methods:

• An observational study was conducted in Region Halland, Sweden, following 725 individuals with T1D from 2013 to 2019.
• Data collected included advanced diabetes technology use, resource utilization, and glycemic control (HbA1c levels).

Main Results:

• Children (0–17 years) demonstrated significantly better glucose control (mean HbA1c 53 mmol/mol) compared to young adults (18–25 years, mean HbA1c 61 mmol/mol).
• Comorbidities like ADHD and autism were linked to higher HbA1c. All participants benefited from dietitian or psychologist consultations, improving glucose control.
• Children utilized advanced diabetes technology more frequently and had more physician visits than young adults.

Conclusions:

• Frequent physician visits and consultations with dietitians and psychologists correlate with improved glucose control in T1D individuals aged 0–25 years.
• Young adults with T1D may require enhanced resources and greater access to advanced diabetes technologies for optimal management.