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

Medical College of Wisconsin, Milwaukee, Wisconsin (Dr Cabrera).
The Diabetes Educator (Impact Factor: 1.92). 02/2013; 39(2). DOI: 10.1177/0145721713475845
Source: PubMed

ABSTRACT PurposeThe 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.ResultsRecords 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.

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May 28, 2014