Article (Scientific journals)
Target setting in intensive insulin management is associated with metabolic control: The Hvidoere Childhood Diabetes Study Group Centre Differences Study 2005
Swift, P. G. F.; Skinner, T. C.; De Beaufort, Carine et al.
2010In Pediatric Diabetes, 11 (4), p. 271-278
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Keywords :
Adolescence; Centre differences; Glycaemic control; Targets; Adolescent; Blood Glucose; Child; Cross-Sectional Studies; Diabetes Mellitus; Female; Hemoglobin A, Glycosylated; Humans; Hypoglycemic Agents; Insulin; Male; Parents; Practice Guidelines as Topic; Treatment Outcome
Abstract :
[en] Objective: To evaluate glycaemic targets set by diabetes teams, their perception by adolescents and parents, and their influence on metabolic control.Methods: Clinical data and questionnaires were completed by adolescents, parents/carers and diabetes teams in 21 international centres. HbA1c was measured centrally.Results: A total of 2062 adolescents completed questionnaires (age 14.4 ± 2.3 yr; diabetes duration 6.1 ± 3.5 yr). Mean HbA 1c = 8.2 ± 1.4% with significant differences between centres (F = 12.3; p < 0.001) range from 7.4 to 9.1%. There was a significant correlation between parent (r = 0.20) and adolescent (r = 0.21) reports of their perceived ideal HbA1c and their actual HbA1c result (p < 0.001), and a stronger association between parents' (r = 0.39) and adolescents' (r = 0.4) reports of the HbA1c they would be happy with and their actual HbA1c result. There were significant differences between centres on parent and adolescent reports of ideal and happy with HbA1c (8.1 < F > 17.4;p < 0.001). A lower target HbA1c and greater consistency between members of teams within centres were associated with lower centre HbA1c (F = 16.0; df = 15; p < 0.001).Conclusions: Clear and consistent setting of glycaemic targets by diabetes teams is strongly associated with HbA1c outcome in adolescents. Target setting appears to play a significant role in explaining the differences in metabolic outcomes between centres. © 2009 John Wiley & Sons A/S.
Disciplines :
Human health sciences: Multidisciplinary, general & others
Identifiers :
eid=2-s2.0-77954481269
Author, co-author :
Swift, P. G. F.;  Children's Hospital, Leicester Royal Infirmary, United Kingdom
Skinner, T. C.;  Combined Universities Centre for Rural Health, Geraldton Western, Australia
De Beaufort, Carine ;  University of Luxembourg > Luxembourg Centre for Systems Biomedicine (LCSB)
Cameron, F. J.;  Department of Endocrinology and Diabetes, Royal Children's Hospital, Melbourne, Australia
Åman, J.;  Barn-och ungdomskliniken, Universitetssjukhuset Södra Grev Rosengatan, Sweden
Aanstoot, H.-J.;  Center for Pediatric and Adolescent Diabetes Care and Research, Rotterdam, Netherlands
Castaño, L.;  Endocrinology and Diabetes Research Group, Hospital de Cruces, Ciberdem, Spain
Chiarelli, F.;  Department of Paediatrics, University of Chieti, Chieti, Italy
Daneman, D.;  The Hospital for Sick Children University, Toronto, Canada
Danne, T.;  Kinderkrankenhaus auf der Bult, Hannover, Germany
Dorchy, H.;  Hôpital Universitaire des Enfants Reine Fabiola Diabetology Clinic, Brussels, Belgium
Hoey, H.;  Department of Paediatrics, Trinity College, National Children's Hospital, Dublin, Ireland
Kaprio, E. A.;  Peijas Hospital, Vantaa, Finland
Kaufman, F.;  Children's Hospital of Los Angeles, United States
Kocova, M.;  Medical Faculty, Department of Endocrinology and Genetics, Pediatric Clinic Republic, Macedonia
Mortensen, H. B.;  Department of Paediatrics, Glostrup University Hospital, Denmark
Njølstad, P. R.;  Department of Pediatrics, Haukeland University Hospital, Norway, Department of Clinical Medicine, University of Bergen, Norway
Phillip, M.;  National Center of Childhood Diabetes, Schneider Children's Medical Center, Petah Tikva, Israel
Robertson, K. J.;  Royal Hospital for Sick Children Glasgow, Scotland, United Kingdom
Schoenle, E. J.;  University Childrens Hospital, Zurich, Switzerland
Urakami, T.;  Department of Paediatrics, Nihon University School of Medicine, Tokyo, Japan
Vanelli, M.;  Centro di Diabetologia, University of Parma, Italy
Ackermann, R. W.;  Novo Nordisk A/S, Bagsvaerd, Denmark
Skovlund, S. E.;  Novo Nordisk A/S, Bagsvaerd, Denmark
More authors (14 more) Less
External co-authors :
yes
Language :
English
Title :
Target setting in intensive insulin management is associated with metabolic control: The Hvidoere Childhood Diabetes Study Group Centre Differences Study 2005
Publication date :
2010
Journal title :
Pediatric Diabetes
ISSN :
1399-543X
Volume :
11
Issue :
4
Pages :
271-278
Peer reviewed :
Peer reviewed
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