Evidence map›Paper›PMID 37470946›Full record

ArticleDiabetes therapy : research, treatment and education of diabetes and related disorders2023

Living with Type 1 Diabetes as Experienced by Adults with Prolonged Elevated HbA1c: A Qualitative Study.

Ingrid Wijk, Susanne Amsberg, Sissel Andreassen Gleissman, Eva Toft, Therese Anderbro, Unn-Britt Johansson

Open access · goldAbstract read
In one paragraph

Article in Diabetes therapy : research, treatment and education of diabetes and related disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. An Interpretive Phenomenological Inquiry into Type 1 Diabetes and Work.International journal of environmental research and public health · 2025
    Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Ingrid WijkDepartment of Health Promoting Science, Sophiahemmet University, P.O. Box 5605, 114 86, Stockholm, Sweden. ingrid.wijk@shh.se.ORCID http://orcid.org/0000-0001-8967-1342
Susanne AmsbergDepartment of Health Care Sciences, Marie Cederschiöld University, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-2732-2048
Sissel Andreassen GleissmanDepartment of Nursing Science, Sophiahemmet University, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-9929-4779
Eva ToftDepartment of Medicine, Ersta Hospital, Stockholm, Sweden.ORCID http://orcid.org/0000-0003-1087-445X
Therese AnderbroDepartment of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0003-2517-2311
Unn-Britt JohanssonDepartment of Health Promoting Science, Sophiahemmet University, P.O. Box 5605, 114 86, Stockholm, Sweden.ORCID http://orcid.org/0000-0003-3309-136X
Sophiahemmet University College · SEKarolinska Institutet · SEMarie Cederschiöld University · SEStockholm University · SE

Funding

The Swedish Diabetes Foundation DIA2018-360
6 · The paper itself

Abstract

introductionHigh HbA1c levels in type 1 diabetes (T1D) are associated with increased risk of micro- and macrovascular complications and severe diabetes distress. A more comprehensive understanding of the adult perspective of living with T1D can improve the quality of care. We aimed to describe experiences of living with T1D as an adult with prolonged elevated HbA1c.

methodsThirteen adults with T1D and HbA1c > 60 mmol/mol (7.6%) for at least 1 year were individually interviewed via a digital platform. The interviews were transcribed verbatim and analyzed using qualitative content analysis.

resultsThe analysis identified an overarching theme, "a lifelong follower", and generated two main categories describing study participants' experience: constraining and manageable. Constraining experiences were explained in obligated control, loss of control, environmental impact, and consequences of diabetes. Manageable experiences were described in everyday life, approach to diabetes, and support in life. Diabetes knowledge in health care and in the general public, and individualized care were important factors in feeling understood, safe, and supported.

conclusionsThe findings revealed the diverse experiences of adults with prolonged elevated HbA1c. Living with T1D, a lifelong non-chosen follower, could be perceived as constraining but manageable in different degrees. A person-centered care approach addressing both dimensions may be beneficial. Experiences of living with and managing diabetes are multifaceted and intertwined with life context and medical prerequisites.

Indexed as

AdultsContent analysisExperiencesHbA1cQualitative researchType 1 diabetes

Identifiers

PMID37470946
PMCPMC10499710
OpenAlexW4384820934

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.