מתוך medicontext.co.il
WESTPORT, CT (Reuters Health) – There is a significant association between lower HbA1c and better quality of life in adolescents with type 1 diabetes, according to a report in the November issue of Diabetes Care.
Dr. Hilary M. C. V. Hoey, of National Children's Hospital in Dublin, Ireland, and colleagues examined the association between the demands of good metabolic control or the consequences of poor control and the quality of life in diabetic adolescents. They analyzed HbA1c and collected demographic and clinical data for 2101 subjects.
Participants completed Diabetic Quality of Life questionnaires and, using newly constructed questionnaires, parents and healthcare professionals evaluated family burden.
The researchers found that mean HbA1c was 8.7% and ranged from 4.8% to 17.4%. They observed associations between lower HbA1c and lower impact of disease (p < 0.0001), fewer worries (p < 0.05), greater satisfaction (p < 0.0001), and better health perception (p < 0.0001).
Compared with boys, girls exhibited increased worries (p < 0.01), less satisfaction, and poorer health perception (p < 0.01). Parents and healthcare professionals perceived family burden to decrease with adolescent age (p < 0.0001).
Patients in ethnic minority groups had higher HbA1c levels and poorer scores for impact of diabetes, worries, and health perception, compared with patients who were not in ethnic minority groups.
"There was no correlation between adolescent and parent or between adolescent and professional scores," Dr. Hoey and colleagues note.
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