Diabetes duration, perceived comfort with self‐management and glycaemic control in adolescents with type 1 diabetes: A cross‐sectional study

Author:

Renaud‐Charest Olivier12,Mok Elise2,Frei Jennifer2,Brunet Marie‐Laurence12,Henderson Mélanie345,Rahme Elham26,Dasgupta Kaberi26ORCID,Nakhla Meranda27ORCID

Affiliation:

1. Faculty of Medicine and Health Sciences McGill University Montreal Québec Canada

2. Centre for Outcomes Research and Evaluation Research Institute of the McGill University Health Centre Montreal Québec Canada

3. Department of Paediatrics Université de Montréal Montreal Québec Canada

4. CHU Sainte‐Justine Research Centre Montreal Québec Canada

5. School of Public Health, Department of Social and Preventive Medicine Université de Montréal Montreal Québec Canada

6. Division of Clinical Epidemiology, Department of Medicine McGill University Montreal Québec Canada

7. Division of Endocrinology, Department of Paediatrics McGill University Health Centre Montreal Québec Canada

Abstract

AbstractAimsEvidence is lacking on whether diabetes duration is associated with type 1 diabetes (T1D) self‐management during late adolescence before transfer from paediatric to adult care. We examined associations of diabetes duration with dimensions of perceived comfort with diabetes self‐management (self‐efficacy, transition readiness, diabetes distress) and glycaemic control in late adolescence.MethodsUsing a cross‐sectional design, we conducted a secondary analysis of baseline data of adolescents (ages 16–17 years) with T1D followed at paediatric diabetes academic hospitals in Montreal and enrolled in the Group Education Trial to Improve Transition (GET‐IT‐T1D). Participants completed validated questionnaires on self‐efficacy (Self‐Efficacy for Diabetes Self‐Management Measure [SEDM], score 1 to 10), diabetes distress and transition readiness, as well as a haemoglobin (HbA1c) capillary blood test. Our primary outcome was self‐efficacy. We examined associations of diabetes duration with self‐efficacy, diabetes distress, transition readiness and HbA1c using linear and logistic regression models adjusted for sex, socioeconomic status, insulin pump use, glucose sensor use and psychiatric comorbidity.ResultsOf 203 adolescents with T1D, mean diabetes duration (SD) was 7.57 (4.44) years. Mean SEDM score was 6.83 (SD 1.62). Diabetes duration was not associated with self‐efficacy, diabetes distress or transition readiness. Each additional year of diabetes duration was associated with 0.11% (95% CI, 0.05 to 0.16) higher HbA1c.ConclusionsAlthough diabetes duration is not associated with dimensions of perceived comfort with diabetes self‐management, adolescents with longer diabetes duration are at risk for higher HbA1c and may need additional support to improve glycaemic control before transition to adult care.

Funder

Canadian Institutes of Health Research

Publisher

Wiley

Subject

Endocrinology,Endocrinology, Diabetes and Metabolism,Internal Medicine

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