Trends in Glycemic Control Among Youth and Young Adults With Diabetes: The SEARCH for Diabetes in Youth Study.
Journal
Diabetes care
ISSN: 1935-5548
Titre abrégé: Diabetes Care
Pays: United States
ID NLM: 7805975
Informations de publication
Date de publication:
01 02 2022
01 02 2022
Historique:
received:
04
03
2021
accepted:
15
11
2021
pubmed:
8
1
2022
medline:
11
3
2022
entrez:
7
1
2022
Statut:
ppublish
Résumé
To describe temporal trends and correlates of glycemic control in youth and young adults (YYA) with youth-onset diabetes. The study included 6,369 participants with type 1 or type 2 diabetes from the SEARCH for Diabetes in Youth study. Participant visit data were categorized into time periods of 2002-2007, 2008-2013, and 2014-2019, diabetes durations of 1-4, 5-9, and ≥10 years, and age groups of 1-9, 10-14, 15-19, 20-24, and ≥25 years. Participants contributed one randomly selected data point to each duration and age group per time period. Multivariable regression models were used to test differences in hemoglobin A1c (HbA1c) over time by diabetes type. Models were adjusted for site, age, sex, race/ethnicity, household income, health insurance status, insulin regimen, and diabetes duration, overall and stratified for each diabetes duration and age group. Adjusted mean HbA1c for the 2014-2019 cohort of YYA with type 1 diabetes was 8.8 ± 0.04%. YYA with type 1 diabetes in the 10-14-, 15-19-, and 20-24-year-old age groups from the 2014-2019 cohort had worse glycemic control than the 2002-2007 cohort. Race/ethnicity, household income, and treatment regimen predicted differences in glycemic control in participants with type 1 diabetes from the 2014-2019 cohort. Adjusted mean HbA1c was 8.6 ± 0.12% for 2014-2019 YYA with type 2 diabetes. Participants aged ≥25 years with type 2 diabetes had worse glycemic control relative to the 2008-2013 cohort. Only treatment regimen was associated with differences in glycemic control in participants with type 2 diabetes. Despite advances in diabetes technologies, medications, and dissemination of more aggressive glycemic targets, many current YYA are less likely to achieve desired glycemic control relative to earlier cohorts.
Identifiants
pubmed: 34995346
pii: 139219
doi: 10.2337/dc21-0507
pmc: PMC8914430
doi:
Substances chimiques
Blood Glucose
0
Glycated Hemoglobin A
0
Banques de données
figshare
['10.2337/figshare.17052590']
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
285-294Subventions
Organisme : ACL HHS
ID : U18DP006138
Pays : United States
Organisme : NCCDPHP CDC HHS
ID : U18 DP002714
Pays : United States
Organisme : NCCDPHP CDC HHS
ID : U01 DP000244
Pays : United States
Organisme : EPA
ID : EP-C-15-002
Pays : United States
Organisme : NCCDPHP CDC HHS
ID : U18 DP002709
Pays : United States
Organisme : NCCDPHP CDC HHS
ID : U18 DP006134
Pays : United States
Organisme : NIDDK NIH HHS
ID : R01 DK127208
Pays : United States
Organisme : NIDDK NIH HHS
ID : K23 DK119465
Pays : United States
Organisme : HSRD VA
ID : HIR 10-001
Pays : United States
Organisme : ACL HHS
ID : U18DP006139
Pays : United States
Organisme : NIDDK NIH HHS
ID : UC4 DK108173
Pays : United States
Organisme : NCCDPHP CDC HHS
ID : U01 DP000247
Pays : United States
Organisme : NCCDPHP CDC HHS
ID : U18 DP006139
Pays : United States
Organisme : NIDDK NIH HHS
ID : P30 DK092926
Pays : United States
Organisme : NCCDPHP CDC HHS
ID : U18 DP002710
Pays : United States
Organisme : NCCDPHP CDC HHS
ID : U01 DP000248
Pays : United States
Organisme : NCCDPHP CDC HHS
ID : U18 DP006136
Pays : United States
Organisme : ACL HHS
ID : U18DP006134
Pays : United States
Organisme : NCCDPHP CDC HHS
ID : U18 DP006138
Pays : United States
Organisme : ACL HHS
ID : U18DP006131
Pays : United States
Organisme : NHLBI NIH HHS
ID : K23 HL148394
Pays : United States
Organisme : NCCDPHP CDC HHS
ID : U18 DP006131
Pays : United States
Organisme : NHLBI NIH HHS
ID : L40 HL148910
Pays : United States
Organisme : ACL HHS
ID : U18DP006136
Pays : United States
Organisme : NCCDPHP CDC HHS
ID : U01 DP000250
Pays : United States
Organisme : NCCDPHP CDC HHS
ID : U18 DP006133
Pays : United States
Organisme : NCCDPHP CDC HHS
ID : U01 DP000246
Pays : United States
Organisme : NCCDPHP CDC HHS
ID : U01 DP000254
Pays : United States
Organisme : ACL HHS
ID : U18DP006133
Pays : United States
Organisme : NCCDPHP CDC HHS
ID : U18 DP002708
Pays : United States
Investigateurs
Jean M Lawrence
(JM)
Peggy Hung
(P)
Corinna Koebnick
(C)
Xia Li
(X)
Eva Lustigova
(E)
Kristi Reynolds
(K)
David J Pettitt
(DJ)
Elizabeth J Mayer-Davis
(EJ)
Amy Mottl
(A)
Joan Thomas
(J)
Malaka Jackson
(M)
Lisa Knight
(L)
Angela D Liese
(AD)
Christine Turley
(C)
Deborah Bowlby
(D)
James Amrhein
(J)
Elaine Apperson
(E)
Bryce Nelson
(B)
Dana Dabelea
(D)
Anna Bellatorre
(A)
Tessa Crume
(T)
Richard F Hamman
(RF)
Katherine A Sauder
(KA)
Allison Shapiro
(A)
Lisa Testaverde
(L)
Georgeanna J Klingensmith
(GJ)
David Maahs
(D)
Marian J Rewers
(MJ)
Paul Wadwa
(P)
Stephen Daniels
(S)
Michael G Kahn
(MG)
Greta Wilkening
(G)
Clifford A Bloch
(CA)
Jeffrey Powell
(J)
Kathy Love-Osborne
(K)
Diana C Hu
(DC)
Lawrence M Dolan
(LM)
Amy S Shah
(AS)
Debra A Standiford
(DA)
Elaine M Urbina
(EM)
Catherine Pihoker
(C)
Irl Hirsch
(I)
Grace Kim
(G)
Faisal A Malik
(FA)
Lina Merjaneh
(L)
Alissa Roberts
(A)
Craig Taplin
(C)
Joyce Yi-Frazier
(J)
Natalie Beauregard
(N)
Cordelia Franklin
(C)
Carlo Gangan
(C)
Sue Kearns
(S)
Mary Klingsheim
(M)
Beth Loots
(B)
Michael Pascual
(M)
Carla Greenbaum
(C)
Giuseppina Imperatore
(G)
Sharon H Saydah
(SH)
Barbara Linder
(B)
Santica M Marcovina
(SM)
Alan Chait
(A)
Noemie Clouet-Foraison
(N)
Jessica Harting
(J)
Greg Strylewicz
(G)
Ralph D'Agostino
(R)
Elizabeth T Jensen
(ET)
Lynne E Wagenknecht
(LE)
Ronny A Bell
(RA)
Ramon Casanova
(R)
Jasmin Divers
(J)
Maureen T Goldstein
(MT)
Leora Henkin
(L)
Scott Isom
(S)
Kristin Lenoir
(K)
June Pierce
(J)
Beth Reboussin
(B)
Joseph Rigdon
(J)
Andrew Michael South
(AM)
Jeanette Stafford
(J)
Cynthia Suerken
(C)
Brian Wells
(B)
Carrie Williams
(C)
Informations de copyright
© 2022 by the American Diabetes Association.
Références
Diabetes Care. 2021 Jan;44(1):133-140
pubmed: 32938745
Diabetes Care. 2016 May;39(5):686-93
pubmed: 26861924
JAMA. 2020 Jun 16;323(23):2388-2396
pubmed: 32543683
Diabetes Care. 2014 Dec;37(12):3336-44
pubmed: 25414389
Arch Intern Med. 2011 Mar 14;171(5):412-20
pubmed: 21403038
Diabetes Care. 2018 Jun;41(6):1299-1311
pubmed: 29739814
Diabetes Technol Ther. 2021 Jul;23(7):491-499
pubmed: 33566729
Diabetes Metab Syndr. 2021 Jan-Feb;15(1):243-247
pubmed: 33450533
Diabetes Care. 2013 Jun;36(6):1749-57
pubmed: 23704674
Diabetes Care. 2016 Sep;39(9):1635-42
pubmed: 27486237
BMJ. 2000 Aug 12;321(7258):405-12
pubmed: 10938048
Diabetes Care. 2011 Nov;34(11):2477-85
pubmed: 22025785
Pediatr Diabetes. 2021 Jun;22(4):586-593
pubmed: 33502062
Pediatrics. 2015 Mar;135(3):424-34
pubmed: 25687140
JAMA. 2007 Jun 27;297(24):2716-24
pubmed: 17595272
Clin Diabetes. 2020 Apr;38(2):141-151
pubmed: 32327886
N Engl J Med. 1993 Sep 30;329(14):977-86
pubmed: 8366922
Diabetes Technol Ther. 2021 Feb;23(2):104-109
pubmed: 32678672
Pediatr Diabetes. 2018 Nov;19(7):1198-1205
pubmed: 29781227
Curr Opin Pediatr. 2010 Aug;22(4):405-11
pubmed: 20489639
Diabetes Technol Ther. 2017 Jun;19(6):363-369
pubmed: 28581817
Pediatr Diabetes. 2018 Oct;19 Suppl 27:302-325
pubmed: 30039513
Diabetes Care. 2021 Jan;44(Suppl 1):S180-S199
pubmed: 33298424
JAMA Netw Open. 2018 Sep 7;1(5):
pubmed: 30370425
Lancet. 2017 Apr 8;389(10077):1453-1463
pubmed: 28402827
J Pediatr. 2009 Nov;155(5):668-72.e1-3
pubmed: 19643434
Diabetes Care. 2018 May;41(5):1017-1024
pubmed: 29496742
N Engl J Med. 2017 Apr 13;376(15):1419-1429
pubmed: 28402773
Diabetes Care. 2019 Mar;42(3):416-426
pubmed: 30104301
Clin Diabetes. 2021 Jul;39(3):256-263
pubmed: 34421200
Diabetologia. 2008 Jun;51(6):941-51
pubmed: 18351320
Pediatr Diabetes. 2009 Feb;10(1):52-8
pubmed: 18761648
Diabetes Care. 2020 Jan;43(1):e1-e2
pubmed: 31672703
Pediatr Diabetes. 2016 Oct;17 Suppl 23:38-45
pubmed: 27417128
Diabetes Technol Ther. 2021 Jun;23(6):467-470
pubmed: 33439754
Pediatr Diabetes. 2018 Nov;19(7):1271-1275
pubmed: 29923262
Pediatr Diabetes. 2018 Oct;19 Suppl 27:105-114
pubmed: 30058221
JAMA Intern Med. 2020 Jul 1;180(7):1012-1014
pubmed: 32478819
Endocr Rev. 2018 Oct 1;39(5):629-663
pubmed: 30060120
Pediatr Diabetes. 2017 May;18(3):222-229
pubmed: 26970319
JAMA. 2017 Feb 28;317(8):825-835
pubmed: 28245334
Diabetes Technol Ther. 2019 Feb;21(2):66-72
pubmed: 30657336
N Engl J Med. 2008 Oct 9;359(15):1618-20
pubmed: 18843126
Diabetes Technol Ther. 2013 Nov;15(11):929-34
pubmed: 23869706