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- Title
The impact of blood glucose and HbA<sub>1c</sub> goals on glycaemic control in children and adolescents with Type 1 diabetes.
- Authors
Boot, M.; Volkening, L. K.; Butler, D. A.; Laffel, L. M. B.
- Abstract
Aims To evaluate parents' goals and parents' perceptions of physicians' goals for blood glucose and HbA1c in children and adolescents with Type 1 diabetes. Methods In a cross-sectional observational assessment, parents (80% mothers) of 153 children/adolescents (56% female), aged 12.9 ± 2.3 years (range 8-16 years) with Type 1 diabetes for 6.3 ± 3.5 years, completed surveys regarding their goals and their perceptions of physicians' goals for their child's blood glucose and HbA1c levels. Results Children/adolescents had a mean HbA1c of 69 ± 16 mmol/mol (8.4 ± 1.4%) and checked blood glucose levels 3.8 ± 1.2 times/day; 23% received pump therapy. Almost half of parents reported a blood glucose goal of 130 (80-180) mg/dl [7.2 (4.4-10) mmol/l]; 75% of parents reported a HbA1c goal of 42-64 mmol/mol (6-8%). HbA1c was significantly lower when parents reported HbA1c goals ≤ 64 mmol/mol (≤ 8%) vs. > 64 mmol/mol (> 8%) [67 ± 14 mmol/mol (8.3 ± 1.2%) vs. 76 ± 20 mmol/mol (9.1 ± 1.8%), respectively, P = 0.02]. Parents' blood glucose and HbA1c goals were tightly linked with parents' perceptions of physicians' blood glucose and HbA1c goals (69% concordant, P < 0.0001; 88% concordant, P < 0.0001, respectively). Conclusions There was a significant association between lower parent HbA1c goals and lower child/adolescent HbA1c. Further, parents appear to set glycaemic goals based upon their perceptions of physician goals. Future studies should assess the relationship between parents' perceptions of health-care providers' goals and health-care providers' actual goals and the impact of unified family/provider goal-setting on glycaemic control.
- Subjects
BLOOD sugar analysis; TREATMENT of diabetes; TYPE 1 diabetes; ETHNIC groups; GLYCOSYLATED hemoglobin; GOAL (Psychology); INJECTIONS; INSULIN; INSULIN pumps; EVALUATION of medical care; MEDICAL needs assessment; MOTHERS; PEDIATRICS; RACE; DATA analysis; BODY mass index; CROSS-sectional method; DATA analysis software
- Publication
Diabetic Medicine, 2013, Vol 30, Issue 3, p333
- ISSN
0742-3071
- Publication type
Article
- DOI
10.1111/dme.12083