Changes in type 1 diabetes health indicators from high school to college. Issue 2 (17th February 2016)

• Record Type: Journal Article
• Authors: Monaghan, Maureen; King, Megan McCormick; Alvarez, Vanessa; Cogen, Fran R.; Wang, Jichuan
• Is Part Of: Journal of American college health. Volume 64:Issue 2(2016)
• Page Start: 157
• Page End: 161
• Publication Date: 2016-02-17
• Subjects: Adherence -- clinical medicine -- diabetes -- young adults; College students -- Health and hygiene -- United States -- Periodicals; College students -- Health and hygiene -- Periodicals; College students -- Mental health -- Periodicals; Universities and colleges -- Health promotion services -- Periodicals; 362.10883781980973
• DOI: 10.1080/07448481.2015.1068780
• Languages: English
• ISSNs: 0744-8481

Abstract

ABSTRACT: Objective : Evaluate trajectories of type 1 diabetes health indicators from high school through the first year of college.Participants : Seventy-four students with type 1 diabetes who maintained pediatric endocrinology care during the first year of college.Methods : Hemoglobin A1c (HbA1c), blood glucose monitoring frequency, body mass index (BMI), and clinic attendance data were collected via retrospective medical chart review in spring 2012. Group-based trajectory models evaluated diabetes-related health indicators over time and identified distinct growth trajectory groups.Results : BMI increased and clinic attendance decreased in the first year of college. Trajectories for other health indicators were heterogeneous and stable over time; 69% of students were classified as having stable good glycemic control. Racial minority youth and youth on conventional insulin regimens were disproportionally represented in higher-risk groups.Conclusions : Diabetes health indicators are stable or decline upon college entrance. Results signal the need for targeted support for college students with type 1 diabetes.