Blood pressure in adolescents and young adults with type 1 diabetes: data from the Australasian Diabetes Data Network registry
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Published:2023-03-15
Issue:6
Volume:60
Page:797-803
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ISSN:1432-5233
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Container-title:Acta Diabetologica
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language:en
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Short-container-title:Acta Diabetol
Author:
James StevenORCID, Perry Lin, Lowe Julia, Harris Margaret, Colman Peter G., Craig Maria E., Anderson Kym, Andrikopoulos Sof, Ambler Geoff, Barrett Helen, Batch Jenny, Bergman Philip, Cameron Fergus, Conwell Louise, Cotterill Andrew, Cooper Chris, Couper Jennifer, Davis Elizabeth, de Bock Martin, Donaghue Kim, Fairchild Jan, Fegan Gerry, Fourlanos Spiros, Glastras Sarah, Goss Peter, Gray Leonie, Hamblin Peter Shane, Hofman Paul, Holmes-Walker Dianne Jane, Huynh Tony, Isaacs Sonia, Jefferies Craig, Johnson Stephanie, Jones Tim, Kao Jeff, King Bruce R., Lafferty Antony, Makin Jane, Martin Michelle, McCrossin Robert, Neville Kris, Pascoe Mark, Paul Ryan, Pawlak Dorota, Peña Alexia, Phillips Liza, Price Darrell, Rodda Christine, Simmons David, Sinnott Richard, Smart Carmel, Stell Anthony, Stone Monique, Stranks Steve, Tham Elaine, Waddell Barbara, Ward Glenn, Wheeler Ben, Woodhead Helen, Zimmermann Anthony,
Abstract
Abstract
Aim
Hypertension increases complication risk in type 1 diabetes (T1D). We examined blood pressure (BP) in adolescents and young adults with T1D from the Australasian Diabetes Data Network, a prospective clinical diabetes registry in Australia and New Zealand.
Methods
This was a longitudinal study of prospectively collected registry data. Inclusion criteria: T1D (duration ≥ 1 year) and age 16–25 years at last visit (2011–2020). Hypertension was defined as (on ≥ 3 occasions) systolic BP and/or diastolic BP > 95th percentile for age < 18 years, and systolic BP > 130 and/or diastolic BP > 80 mmHg for age ≥ 18 years. Multivariable Generalised Estimating Equations were used to examine demographic and clinical factors associated with BP in the hypertensive range across all visits.
Results
Data from 6338 young people (male 52.6%) attending 24 participating centres across 36,655 T1D healthcare visits were included; 2812 (44.4%) had BP recorded at last visit. Across all visits, 19.4% of youth aged < 18 years and 21.7% of those aged ≥ 18 years met criteria for hypertension. In both age groups, BP in the hypertensive range was associated with male sex, injection (vs. pump) therapy, higher HbA1c, and higher body mass index.
Conclusions
There is a high proportion of adolescents and young adults reported with BP persistently in hypertensive ranges. Findings flag the additive contribution of hypertension to the well-established body of evidence indicating a need to review healthcare models for adolescents and young adults with T1D.
Funder
University of the Sunshine Coast
Publisher
Springer Science and Business Media LLC
Subject
Endocrinology,General Medicine,Endocrinology, Diabetes and Metabolism,Internal Medicine
Reference33 articles.
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