Long-term glycemic control as a result of initial education for children with new onset type 1 diabetes: does the setting matter? Diabetes Educ 2013;39(2):187-94
Date
02/22/2013Pubmed ID
23427241Pubmed Central ID
PMC4780749DOI
10.1177/0145721713475845Scopus ID
2-s2.0-84875347508 (requires institutional sign-in at Scopus site) 8 CitationsAbstract
PURPOSE: The purpose of this study was to examine the role of initial diabetes education delivery at an academic medical center (AMC) versus non-AMCs on long-term glycemic control.
METHODS: We performed a retrospective study of children with type 1 diabetes referred to an AMC after being educated at non-AMCs. These children were matched to a group of children diagnosed and educated as inpatients at an AMC. The A1C levels at 2, 3, and 5 years from diagnosis were compared between the 2 groups of children.
RESULTS: Records were identified from 138 children. Glycemic control was comparable in the non-AMC-educated versus AMC-educated patients at 2, 3, and 5 years from diagnosis. The A1C was also highly consistent in each patient over time.
CONCLUSIONS: Long-term glycemic control was independent of whether initial education was delivered at an AMC or non-AMC. Formal education and location at time of diagnosis do not appear to play a significant role in long-term glycemic control. Novel educational constructs, focusing on developmental stages of childhood and reeducation over time, are likely more important than education at time of diagnosis.
Author List
Cabrera SM, Srivastava NT, Behzadi JM, Pottorff TM, Dimeglio LA, Walvoord ECAuthor
Susanne M. Cabrera MD Associate Professor in the Pediatrics department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Adaptation, PsychologicalBlood Glucose
Child
Child Health Services
Child, Preschool
Communication
Diabetes Mellitus, Type 1
Female
Health Knowledge, Attitudes, Practice
Humans
Indiana
Infant
Male
Patient Education as Topic
Professional-Family Relations
Retrospective Studies
Self Care
Treatment Outcome