ArticleDiabetes care2010
Glycemic control in children with type 1 diabetes in wales: influence of the pediatric diabetes specialist nurse.
Article in Diabetes care, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- ADECA: A Novel Course for Training Paediatric Diabetes Nurse Educators in Sub-Saharan Africa.Hormone research in paediatrics · 2026Article
- Effect of High-Sucrose Diet on the Occurrence and Progression of Diabetic Retinopathy and Dietary Modification Strategies.Nutrients · 2024Review
- Article
- Factors related to glycemic control in children and adolescents with type 1 diabetes mellitus in Isfahan, Iran.Journal of diabetes and metabolic disorders · 2021Article
- Effect of Socioeconomic Status and Ethnicity on Glycemic Control in Arab and Jewish Youth with Type 1 Diabetes Mellitus.Rambam Maimonides medical journal · 2018Article
- Article
- Interaction of Pubertal Development and Metabolic Control in Adolescents with Type 1 Diabetes Mellitus.Journal of diabetes research · 2017Article
- Article
- Psychosocial interventions for the diabetic patient.Diabetes, metabolic syndrome and obesity : targets and therapy · 2015Review
- Glycemic control and blood glucose monitoring over time in a sample of young Australians with type 1 diabetes: the role of personality.Diabetes care · 2013Article
- Care delivery and outcomes among Belgian children and adolescents with type 1 diabetes.European journal of pediatrics · 2012Article
- The influence of sex and puberty on the progression of diabetic nephropathy and retinopathy.Diabetologia · 2011Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine whether glycemic control is improving in diabetic children in Wales and to identify factors associated with improvement. RESEARCH DESIGN AND
methodsData were collected in 2001 and 2006.
resultsOver 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.
conclusionsImprovement 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.
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