Long-Term Glycemic Control as a Result of Initial Education for Children With New Onset Type 1 Diabetes: Does the Setting Matter?

Susanne M. Cabrera, Nayan T. Srivastava, Jennifer M. Behzadi, Tina M. Pottorff, Linda A. Dimeglio, Emily C. Walvoord

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Purpose The purpose of this study was to examine the role of initial diabetes education delivery at an academic medical center (AMC) versus non-AMCs on long-term glycemic control. Methods We performed a retrospective study of children with type 1 diabetes referred to an AMC after being educated at non-AMCs. These children were matched to a group of children diagnosed and educated as inpatients at an AMC. The A1C levels at 2, 3, and 5 years from diagnosis were compared between the 2 groups of children. Results Records were identified from 138 children. Glycemic control was comparable in the non-AMC-educated versus AMC-educated patients at 2, 3, and 5 years from diagnosis. The A1C was also highly consistent in each patient over time. Conclusions Long-term glycemic control was independent of whether initial education was delivered at an AMC or non-AMC. Formal education and location at time of diagnosis do not appear to play a significant role in long-term glycemic control. Novel educational constructs, focusing on developmental stages of childhood and reeducation over time, are likely more important than education at time of diagnosis.

Original languageEnglish (US)
Pages (from-to)187-194
Number of pages8
JournalThe Diabetes Educator
Volume39
Issue number2
DOIs
StatePublished - Mar 2013

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Health Professions (miscellaneous)

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