Above 40% of Polish children and young adults with type 1 diabetes achieve international HbA1c target ‐ results of a nationwide cross‐sectional evaluation of glycemic control: The PolPeDiab HbA1c study. Issue 7 (4th August 2021)

• Record Type: Journal Article
• Authors: Szadkowska, Agnieszka; Baranowska‐Jaźwiecka, Anna; Michalak, Arkadiusz; Jarosz‐Chobot, Przemysława; Myśliwiec, Małgorzata; Głowińska‐Olszewska, Barbara; Szypowska, Agnieszka; Nazim, Joanna; Mazur, Artur; Szalecki, Mieczysław; Skowrońska, Bogda; Kucharska‐Zubkiewicz, Agnieszka; Beń‐Skowronek, Iwona; Walczak, Mieczysław; Klupa, Tomasz; Wolnik, Bogumił; Zozulińska‐Ziółkiewicz, Dorota; Młynarski, Wojciech
• Other Names: Agnieszka Adamska investigator.; Aleksandra Araszkiewicz investigator.; Agnieszka Banach investigator.; Bożena Banecka investigator.; Anna Baranowska‐Jaźwiecka investigator.; Iwona Beń‐Skowronek investigator.; Urszula Bielec investigator.; Ewelina Bołdys investigator.; Artur Bossowski investigator.; Anna Bury investigator.; Dorota Charemska investigator.; Agata Chobot investigator.; Joanna Chojnacka investigator.; Joanna Chrzanowska investigator.; Marta Ciechanowska investigator.; Anna Ciemięga investigator.; Katarzyna Cypryk investigator.; Elżbieta Czerniawska investigator.; Grażyna Deja investigator.; Barbara Domagała investigator.; Katarzyna Dżygało investigator.; Piotr Fichna investigator.; Bożena Florys investigator.; Andrzej Gawrecki investigator.; Barbara Głowińska‐Olszewska investigator.; Karolina Górska‐Flak investigator.; Beata Grochowska investigator.; Lidia Groele investigator.; Ewa Grottel investigator.; Anna Hogendorf investigator.; Magdalena Ilkowska investigator.; Jolanta Jabłońska investigator.; Irena Jałowiec investigator.; Przemysława Jarosz‐Chobot investigator.; Justyna Jastrzębska investigator.; Anna Kącka investigator.; Beata Kieć‐Wilk investigator.; Mariola Klocek‐Kopacz investigator.; Bożenna Klonowska investigator.; Tomasz Klupa investigator.; Ewa Koch investigator.; Jacek Krętowski Adam investigator.; Maria Kuderska investigator.; Hanna Kuśmierczyk investigator.; Milena Kuzaka investigator.; Agnieszka Lejk investigator.; Lucyna Lisowicz investigator.; Barbara Łukaszewska investigator.; Anna Majcher investigator.; Maciej Małecki investigator.; Jadwiga Małek investigator.; Bartłomiej Matejko investigator.; Artur Mazur investigator.; Tomasz Menżyk investigator.; Beata Mianowska investigator.; Arkadiusz Michalak investigator.; Urszula Mikietyńska investigator.; Małgorzata Myśliwiec investigator.; Joanna Nazim investigator.; Anna Noczyńska investigator.; Irena Nowak investigator.; Bożena Olech investigator.; Anna Olszewska investigator.; Jadwiga Ostapiuk investigator.; Stanisław Pawełczak investigator.; Jadwiga Peczyńska investigator.; Ewa Piątkowska investigator.; Robert Piekarski investigator.; Iwona Pietrzak investigator.; Olgierd Pilecki investigator.; Sabina Przewoźniak investigator.; Sławomir Rak investigator.; Katarzyna Robak‐Kontna investigator.; Marzena Rogalińska investigator.; Anna Roztropowicz‐Honka investigator.; Barbara Salmonowicz investigator.; Małgorzata Saryusz‐Wolska investigator.; Monika Seifert investigator.; Elżbieta Silkowska investigator.; Elżbieta Skotarczyk‐Kowalska investigator.; Bogda Skowrońska investigator.; Witold Stankiewicz investigator.; Monika Steifert investigator.; Hubert Stępień investigator.; Agnieszka Szadkowska investigator.; Mieczysław Szalecki investigator.; Anna Szczepańska investigator.; Małgorzata Szmigiero‐Kawko investigator.; Katarzyna Szor investigator.; Beata Sztangierska investigator.; Elektra Szymańska investigator.; Agnieszka Szypowska investigator.; Danuta Świderska investigator.; Anna Świercz investigator.; Aleksandra Tabor investigator.; Hanna Trippenbach‐Dulska investigator.; Paulina Trościanko investigator.; Małgorzata Urbańska‐Kosińska investigator.; Małgorzata Wajda‐Cuszlag investigator.; Przemysław Witek investigator.; Daniel Witkowski investigator.; Marzena Włodarska investigator.; Bogumił Wolnik investigator.; Krystyna Wójcik investigator.; Beata Wysocka‐Łukasik investigator.; Marta Wysocka‐Mincewicz investigator.; Ewa Zacharczyk investigator.; Joanna Zarębska investigator.; Małgorzata Zawodniak‐Szałapska investigator.; Agnieszka Zmysłowska investigator.; Dorota Zozulińska‐Ziółkiewicz investigator.; Agnieszka Zubkiewicz‐Kucharska investigator.; Monika Żurawska‐Kliś investigator.;
• Is Part Of: Pediatric diabetes. Volume 22:Issue 7(2021)
• Page Start: 1003
• Page End: 1013
• Publication Date: 2021-08-04
• Subjects: children -- diabetes control -- glycated hemoglobin -- type 1 diabetes -- young adults; Diabetes in children -- Periodicals; 616.462
• DOI: 10.1111/pedi.13250
• Languages: English
• ISSNs: 1399-543X

Abstract

Abstract: Background: Youth with type 1 diabetes (T1D) (16–18 y.o.) present worst disease control of all age groups and need structured interventions. Those should be based on unbiased, national‐scale outcomes, which have not yet been successfully assessed in Poland. Objective: To evaluate the glycemic control in young patients with T1D in Poland. Method: All pediatric diabetes care centers and the nine largest centers for adults with T1D were invited to this cross‐sectional study, conducted in March 2018. Eligibility was defined as age ≤ 30 years and diabetes duration ≥1 year. Blinded samples of capillary blood and clinical questionnaires were sent to coordinating center, where HbA1c was measured by high‐pressure liquid chromatography. Results: Nine adult and 25/28 pediatric centers participated, providing data for 1255 patients (50.8% males), mean age 12.3 years (95%CI:12.1–12.6) for children and 23.2 years (22.9–23.6) for adults; mean diabetes duration 7.1 years (6.8–7.3). This covered ~8% of pediatric population and 2% of 18–30‐years‐olds with T1D. Mean HbA1c was comparable between children and adults (57 mmol/mol [7.4%], 95%CI:56‐57 mmol/mol [7.3–7.4%] vs. 57 mmol/mol [7.4%], 95%CI:56–60 mmol/mol [7.3–7.6%], p = 0.1870). Overall, 45.2% of patients achieved ISPAD target (<53 mmol/mol [<7.0%]). During the month preceding the study, 0.9% of patients experienced severe hypoglycemia and 0.4% suffered ketoacidosis. HbA1c was related to the method of insulin therapy, continuous glucose monitoring use and body weight ( p < 0.0001). Conclusions: In Polish children and young adults with T1D glycemic control expressed as HbA1c is promising in the light of ISPAD guidelines. Our results confirm the known associations between better glycemic control and the use of new technologies and maintaining optimal body weight.