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Glucose control in Rwandan youth with type 1 diabetes following establishment of systematic, HbA1c based, care and education.

Identifieur interne : 000621 ( PubMed/Checkpoint ); précédent : 000620; suivant : 000622

Glucose control in Rwandan youth with type 1 diabetes following establishment of systematic, HbA1c based, care and education.

Auteurs : Sara L. Marshall [États-Unis] ; Deborah V. Edidin [États-Unis] ; Vincent C. Arena [États-Unis] ; Dorothy J. Becker [États-Unis] ; Clareann H. Bunker [États-Unis] ; Crispin Gishoma [Rwanda] ; Francois Gishoma [Rwanda] ; Ronald E. Laporte [États-Unis] ; Vedaste Kaberuka [Rwanda] ; Graham Ogle [Australie] ; Laurien Sibomana [États-Unis] ; Trevor J. Orchard [États-Unis]

Source :

RBID : pubmed:25458328

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English descriptors

Abstract

To assess change in glycemic control concurrent with increased clinic visits, HbA1c testing, and education. Rates of complications were also examined.

DOI: 10.1016/j.diabres.2014.09.045
PubMed: 25458328


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pubmed:25458328

Le document en format XML

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<div type="abstract" xml:lang="en">To assess change in glycemic control concurrent with increased clinic visits, HbA1c testing, and education. Rates of complications were also examined.</div>
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<DateCreated>
<Year>2015</Year>
<Month>01</Month>
<Day>19</Day>
</DateCreated>
<DateCompleted>
<Year>2015</Year>
<Month>08</Month>
<Day>27</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>02</Month>
<Day>20</Day>
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<ISSN IssnType="Electronic">1872-8227</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>107</Volume>
<Issue>1</Issue>
<PubDate>
<Year>2015</Year>
<Month>Jan</Month>
</PubDate>
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<Title>Diabetes research and clinical practice</Title>
<ISOAbbreviation>Diabetes Res. Clin. Pract.</ISOAbbreviation>
</Journal>
<ArticleTitle>Glucose control in Rwandan youth with type 1 diabetes following establishment of systematic, HbA1c based, care and education.</ArticleTitle>
<Pagination>
<MedlinePgn>113-22</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.diabres.2014.09.045</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S0168-8227(14)00445-8</ELocationID>
<Abstract>
<AbstractText Label="AIMS" NlmCategory="OBJECTIVE">To assess change in glycemic control concurrent with increased clinic visits, HbA1c testing, and education. Rates of complications were also examined.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A 1-2 year follow-up of 214 members of the Rwanda Life for a Child program (aged <26 years) with a first HbA1c between June 2009 and November 2010 was conducted. Data were analyzed for the entire cohort and by age (<18 years, ≥18 years). Trajectory analysis was performed to identify trends in HbA1c.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Mean overall HbA1c decreased significantly from baseline (11.2 ± 2.7%; 99 ± 30 mmol/mol) to one- (10.2 ± 2.6%; 88 ± 28 mmol/mol) and two- (9.8 ± 26%; 84 ± 25 mmol/mol) year follow up visits. The prevalence of microalbuminuria did not significantly change (21.0%, 18.8%, and 19.6%), nor did nephropathy (4.7%, 7.8%, and 5.4%). However, rates of hypertension (31.8%, 44.9%, and 40.3%) were higher than expected. Five HbA1c groups were identified by trajectory analysis, and those with the worst control monitored their glucose significantly fewer times per week.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The establishment of regular care, HbA1c testing, and increased education is associated with significant improvements in glycemic control in youth with type 1 diabetes (T1D) in sub-Saharan Africa, but the high prevalence of hypertension is of concern.</AbstractText>
<CopyrightInformation>Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.</CopyrightInformation>
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<LastName>Marshall</LastName>
<ForeName>Sara L</ForeName>
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</AffiliationInfo>
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<LastName>Edidin</LastName>
<ForeName>Deborah V</ForeName>
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<Affiliation>Northwestern University, Feinberg School of Medicine, Pediatrics, Chicago, IL, USA.</Affiliation>
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<LastName>Arena</LastName>
<ForeName>Vincent C</ForeName>
<Initials>VC</Initials>
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<Affiliation>University of Pittsburgh Graduate School of Public Health, Department of Biostatistics, Pittsburgh, PA, USA.</Affiliation>
</AffiliationInfo>
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<ForeName>Dorothy J</ForeName>
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<Affiliation>University of Pittsburgh Graduate School of Public Health, Department of Epidemiology, Pittsburgh, PA, USA.</Affiliation>
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<Initials>C</Initials>
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<ForeName>Francois</ForeName>
<Initials>F</Initials>
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<Initials>V</Initials>
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</Author>
<Author ValidYN="Y">
<LastName>Ogle</LastName>
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<Initials>G</Initials>
<AffiliationInfo>
<Affiliation>International Diabetes Federation Life for a Child Program and Australian Diabetes Council, Sydney, NSW, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Sibomana</LastName>
<ForeName>Laurien</ForeName>
<Initials>L</Initials>
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</AffiliationInfo>
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</AuthorList>
<Language>eng</Language>
<GrantList CompleteYN="Y">
<Grant>
<GrantID>R01 DK034818</GrantID>
<Acronym>DK</Acronym>
<Agency>NIDDK NIH HHS</Agency>
<Country>United States</Country>
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<Month>10</Month>
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<Country>Ireland</Country>
<MedlineTA>Diabetes Res Clin Pract</MedlineTA>
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</ChemicalList>
<CitationSubset>IM</CitationSubset>
<CommentsCorrectionsList>
<CommentsCorrections RefType="Cites">
<RefSource>Exp Clin Endocrinol Diabetes. 2006 Jul;114(7):384-8</RefSource>
<PMID Version="1">16915542</PMID>
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<CommentsCorrections RefType="Cites">
<RefSource>Diabetes Care. 1989 Nov-Dec;12(10):694-70</RefSource>
<PMID Version="1">2612304</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Lancet. 2006 Nov 11;368(9548):1689-95</RefSource>
<PMID Version="1">17098088</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Diabetologia. 1994 Mar;37(3):278-85</RefSource>
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</CommentsCorrections>
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<RefSource>Clin Chem. 2007 Nov;53(11):1954-9</RefSource>
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</CommentsCorrections>
<CommentsCorrections RefType="Cites">
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<RefSource>Pediatrics. 2004 Aug;114(2 Suppl 4th Report):555-76</RefSource>
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<CommentsCorrections RefType="Cites">
<RefSource>Diabet Med. 2008 May;25(5):606-11</RefSource>
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</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Pediatr Diabetes. 2013 May;14(3):217-26</RefSource>
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</CommentsCorrections>
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<RefSource>Diabetes Care. 2009 Mar;32 Suppl 2:S112-22</RefSource>
<PMID Version="1">19246576</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>J Diabetes Complications. 2004 Jul-Aug;18(4):220-3</RefSource>
<PMID Version="1">15207840</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Diabetes Care. 2007 Oct;30(10):2523-8</RefSource>
<PMID Version="1">17630266</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Ann Pharmacother. 2011 Jun;45(6):721-6</RefSource>
<PMID Version="1">21558485</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Pediatr Diabetes. 2011 Feb;12(1):11-7</RefSource>
<PMID Version="1">20337978</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>J Pediatr. 1994 Aug;125(2):177-88</RefSource>
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</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Diab Vasc Dis Res. 2006 47;3(2):80-83</RefSource>
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</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>J Pediatr. 2010 Aug;157(2):245-251.e1</RefSource>
<PMID Version="1">20394942</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Diabetes Care. 2006 Sep;29(9):2072-7</RefSource>
<PMID Version="1">16936155</PMID>
</CommentsCorrections>
</CommentsCorrectionsList>
<MeshHeadingList>
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<MeshHeading>
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<MeshHeading>
<DescriptorName UI="D001786" MajorTopicYN="N">Blood Glucose</DescriptorName>
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<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
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<MeshHeading>
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<MeshHeading>
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<MeshHeading>
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</MeshHeading>
<MeshHeading>
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<OtherID Source="NLM">PMC4300260</OtherID>
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<name sortKey="Bunker, Clareann H" sort="Bunker, Clareann H" uniqKey="Bunker C" first="Clareann H" last="Bunker">Clareann H. Bunker</name>
<name sortKey="Edidin, Deborah V" sort="Edidin, Deborah V" uniqKey="Edidin D" first="Deborah V" last="Edidin">Deborah V. Edidin</name>
<name sortKey="Laporte, Ronald E" sort="Laporte, Ronald E" uniqKey="Laporte R" first="Ronald E" last="Laporte">Ronald E. Laporte</name>
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<name sortKey="Sibomana, Laurien" sort="Sibomana, Laurien" uniqKey="Sibomana L" first="Laurien" last="Sibomana">Laurien Sibomana</name>
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