Factors Predicting Glycemic Control in Type 1 Diabetic Patient

Yazidi, Meriem; Chihaoui, Mélika; Chaker, Fatma; Rjeb, Ons; Slimane, Hédia

Factors Predicting Glycemic Control in Type 1 Diabetic Patient

Meriem Yazidi^*, Mélika Chihaoui, Fatma Chaker, Ons Rjeb, Hédia Slimane

Université de Tunis El Manar, Faculté de Médecine de Tunis, "La Rabta" Hospital, Endocrinology department, 1007 Tunis, Tunisia

Article Information

Identifiers and Pagination:

Year: 2016
Volume: 3
First Page: 153
Last Page: 158
Publisher ID: MEDJ-3-153
DOI: 10.2174/1874220301603010153

Article History:

Received Date: 28/8/2015
Revision Received Date: 31/7/2016
Acceptance Date: 3/8/2016
Electronic publication date: 31/08/2016
Collection year: 2016

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© Yazidi et al.; Licensee Bentham Open

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution-Non-Commercial 4.0 International Public License (CC BY-NC 4.0) (https://creativecommons.org/licenses/by-nc/4.0/legalcode), which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

^* Address correspondence to this author at the Endocrinology Department “La Rabta” Hospital Tunis, Tunisia; Tel: + 216 98 266 061; E-mail: meriemyazidi@gmail.com

Background:

Recent years have been marked by numerous advances in the quality of type 1 diabetes care. However, glycemic control remains suboptimal for many patients with type 1 diabetes. The aim of our study was to identify factors associated with poor glycemic control in type 1 diabetic patients.

Methods:

We studied in a retrospective manner, 188 type 1 diabetic patients, admitted to our department then followed up for at least one year.

Results:

There was a negative correlation between age at diabetes onset and HbA1c value (p=0.02). Adolescents had higher HbA1c value than adults (10.8±2.9% vs. 9.2±2.8%, p=0.02). No relationship was found between number of daily insulin injections and mean HbA1c value. Mean HbA1c was higher in patients with poor compliance to insulin therapy (11.1±3.3% vs. 8.9±2.4%, p<0.0001), in those with less than 3 clinic visits per year (10.7±3.5% vs. 9.0±2.1%, p=0.001), in subjects with lipohypertrophy (10.9±2.5% vs. 9.2±3.4%, p=0.008) and those with known celiac disease (14.5±5.2% vs. 9.6±2.9%, p=0.005).

Conclusion:

Several factors were associated with poor glycemic control in our type 1 diabetic patients. Most of them can be changed in particular by strengthening education strategies.

Keywords: Education, Glycemic control, HbA1c, Insulin treatment, Type 1 diabetes.

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RESEARCH ARTICLE

Factors Predicting Glycemic Control in Type 1 Diabetic Patient

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