Gender differences in diabetes self-care in adults with type 1 diabetes: Findings from the T1D Exchange clinic registry

Viral N. Shah, Mengdi Wu, Sarit Polsky, Janet K. Snell-Bergeon, Jennifer L. Sherr, Eda Cengiz, Linda DiMeglio, Rodica Pop-Busui, Kara Mizokami-Stout, Nicole C. Foster, Roy W. Beck

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Aims: To evaluate gender differences in diabetes self-care components including glycemic, blood pressure and lipid control, utilization of diabetes technologies and acute diabetes complications in adults with type 1 diabetes. Methods: A total of 9,481 participants >18 years were included in the analysis, 53% were female. Variables of interest included glycemic control measured by HbA1c, systolic/diastolic blood pressures, presence of dyslipidemia, insulin delivery modality, and rates of acute complications. Results: Glycemic control was similar in women and men (mean HbA1c in both groups: 8.1% ± 1.6% (64 ± 16 mmol/mol), (p = 0.54). More women used insulin pump therapy (66% vs. 59%, p < 0.001) but use of sensor technology was similar (p < = 0.42). Women had higher rates of diabetic ketoacidosis (DKA) (5% vs. 3%, p < 0.001) and eating disorders (1.7% vs. 0.1%, p < 0.001). Severe hypoglycemia rates were not different between men and women (p = 0.42). Smoking (6% vs 4%, p < 0.001), systolic (125 ± 14.2 vs. 121 ± 14.4, p < 0.001) and diastolic blood pressure (73.3 ± 9.5 vs. 72.2 ± 9.3, p < 0.001) and rate of dyslipidemia (28% vs. 23%, p < 0.001) were higher in men. Conclusion: While glycemic control in type 1 diabetes was similar regardless of gender, rates of DKA and eating disorders were higher in women while rates of smoking, hypertension and dyslipidemia were higher in men.

Original languageEnglish (US)
JournalJournal of Diabetes and its Complications
DOIs
StateAccepted/In press - Jan 1 2018

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Self Care
Type 1 Diabetes Mellitus
Registries
Blood Pressure
Dyslipidemias
Diabetic Ketoacidosis
Smoking
Insulin
Technology
Diabetes Complications
Hypoglycemia
Hypertension
Lipids
Feeding and Eating Disorders
Therapeutics

Keywords

  • Cardiovascular risk factors
  • Diabetes self-management
  • Eating disorder
  • Gender
  • Type 1 diabetes (T1D)

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

Cite this

Gender differences in diabetes self-care in adults with type 1 diabetes : Findings from the T1D Exchange clinic registry. / Shah, Viral N.; Wu, Mengdi; Polsky, Sarit; Snell-Bergeon, Janet K.; Sherr, Jennifer L.; Cengiz, Eda; DiMeglio, Linda; Pop-Busui, Rodica; Mizokami-Stout, Kara; Foster, Nicole C.; Beck, Roy W.

In: Journal of Diabetes and its Complications, 01.01.2018.

Research output: Contribution to journalArticle

Shah, Viral N. ; Wu, Mengdi ; Polsky, Sarit ; Snell-Bergeon, Janet K. ; Sherr, Jennifer L. ; Cengiz, Eda ; DiMeglio, Linda ; Pop-Busui, Rodica ; Mizokami-Stout, Kara ; Foster, Nicole C. ; Beck, Roy W. / Gender differences in diabetes self-care in adults with type 1 diabetes : Findings from the T1D Exchange clinic registry. In: Journal of Diabetes and its Complications. 2018.
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abstract = "Aims: To evaluate gender differences in diabetes self-care components including glycemic, blood pressure and lipid control, utilization of diabetes technologies and acute diabetes complications in adults with type 1 diabetes. Methods: A total of 9,481 participants >18 years were included in the analysis, 53{\%} were female. Variables of interest included glycemic control measured by HbA1c, systolic/diastolic blood pressures, presence of dyslipidemia, insulin delivery modality, and rates of acute complications. Results: Glycemic control was similar in women and men (mean HbA1c in both groups: 8.1{\%} ± 1.6{\%} (64 ± 16 mmol/mol), (p = 0.54). More women used insulin pump therapy (66{\%} vs. 59{\%}, p < 0.001) but use of sensor technology was similar (p < = 0.42). Women had higher rates of diabetic ketoacidosis (DKA) (5{\%} vs. 3{\%}, p < 0.001) and eating disorders (1.7{\%} vs. 0.1{\%}, p < 0.001). Severe hypoglycemia rates were not different between men and women (p = 0.42). Smoking (6{\%} vs 4{\%}, p < 0.001), systolic (125 ± 14.2 vs. 121 ± 14.4, p < 0.001) and diastolic blood pressure (73.3 ± 9.5 vs. 72.2 ± 9.3, p < 0.001) and rate of dyslipidemia (28{\%} vs. 23{\%}, p < 0.001) were higher in men. Conclusion: While glycemic control in type 1 diabetes was similar regardless of gender, rates of DKA and eating disorders were higher in women while rates of smoking, hypertension and dyslipidemia were higher in men.",
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T2 - Findings from the T1D Exchange clinic registry

AU - Shah, Viral N.

AU - Wu, Mengdi

AU - Polsky, Sarit

AU - Snell-Bergeon, Janet K.

AU - Sherr, Jennifer L.

AU - Cengiz, Eda

AU - DiMeglio, Linda

AU - Pop-Busui, Rodica

AU - Mizokami-Stout, Kara

AU - Foster, Nicole C.

AU - Beck, Roy W.

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Y1 - 2018/1/1

N2 - Aims: To evaluate gender differences in diabetes self-care components including glycemic, blood pressure and lipid control, utilization of diabetes technologies and acute diabetes complications in adults with type 1 diabetes. Methods: A total of 9,481 participants >18 years were included in the analysis, 53% were female. Variables of interest included glycemic control measured by HbA1c, systolic/diastolic blood pressures, presence of dyslipidemia, insulin delivery modality, and rates of acute complications. Results: Glycemic control was similar in women and men (mean HbA1c in both groups: 8.1% ± 1.6% (64 ± 16 mmol/mol), (p = 0.54). More women used insulin pump therapy (66% vs. 59%, p < 0.001) but use of sensor technology was similar (p < = 0.42). Women had higher rates of diabetic ketoacidosis (DKA) (5% vs. 3%, p < 0.001) and eating disorders (1.7% vs. 0.1%, p < 0.001). Severe hypoglycemia rates were not different between men and women (p = 0.42). Smoking (6% vs 4%, p < 0.001), systolic (125 ± 14.2 vs. 121 ± 14.4, p < 0.001) and diastolic blood pressure (73.3 ± 9.5 vs. 72.2 ± 9.3, p < 0.001) and rate of dyslipidemia (28% vs. 23%, p < 0.001) were higher in men. Conclusion: While glycemic control in type 1 diabetes was similar regardless of gender, rates of DKA and eating disorders were higher in women while rates of smoking, hypertension and dyslipidemia were higher in men.

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KW - Cardiovascular risk factors

KW - Diabetes self-management

KW - Eating disorder

KW - Gender

KW - Type 1 diabetes (T1D)

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