Naslov
HbA1c in children and adolescents with type I diabetes in Croatia (2003–2005) – multicenter study

Autori
Špehar Uroić, Anita ; Stipančić, Gordana ; Škrabić, Veselin ; Cvijović, Katarina ; Radica, Ana ; Ille, Jasenka ; Rojnić Putarek, Nataša, Dumić, Miroslav

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, ostalo

Izvornik
Pediatric Diabetes / - : John Wiley & Sons, 2007, 54-54

Skup
ISPAD 2007 - 33rd ISPAD Annual Conference

Mjesto i datum
Berlin, Njemačka, 26.09.2007. - 29.09.2007

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
Type 1 diabetes, children, HbA1c

Sažetak
Objective: To evaluate HbA1c concentrations in Croatian children and adolescents in 2003, 2004, and 2005 year and to assess the factors that have an influence on these concentrations. Methods: A total of 402 children aged 2–18 years (212 boys ; 52.7%, 190 girls ; 47.3%) with diabetes of > 1 years duration were included in the multicenter study. HbA1c was measured using Bayer DCA 2000. Data on age, sex, diabetes duration, an insulin dose, blood glucose monitoring frequency, frequency of clinical visits, parental educational level and marital status were included in questionnaire. Statistical analysis was performed using Spearman’s correlation test and MannWhitney test. Results: Mean HbA1c during studied period was 8.89% ± 1.35 (range 5.9% to 13.3%): 9.02%, 8.97% and 8.76% in 2003, 2004, and 2005. respectively. Only 18.6% of children achieved satisfactory glycemic control (HbA1c < 8%). HbA1c was significantly higher in older children (r = 0.23, P < 0.001), with longer diabetes duration (r = 0.24, P < 0.001), higher insulin dose (r = 0.14, P < 0.05), and less frequent blood glucose monitoring (BGM) (less than three BGM 9.82%, four to five BGM 8.99%, six and more BGM 8.16%, P < 0.01). Conclusion: The overall glycemic control of diabetic children in Croatia is unsatisfactory, placing them at high risk of developing microvascular complications. Recognizing the risk factors and children at risk enables specific diabetes team interventions.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA