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Immigrant childrenw...
Immigrant childrenwith type 1 diabetes have impaired metabolic control after three years oftreatment : a nation-wide cohort study in Sweden
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- Söderström, Ulf, 1947- (författare)
- Örebro universitet,Institutionen för hälsovetenskap och medicin
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- Åman, Jan, 1948- (författare)
- Örebro universitet,Institutionen för hälsovetenskap och medicin,Department of Pediatrics Örebro University Hospital, Sweden
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- Samuelsson, Ulf (författare)
- Division of Paediatrics, Department of Molecular and Clinical Medicine, Linkoping University, Sweden; Department of Pediatrics, Linköping University Hospital, Linköping, Sweden
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visa fler...
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- Sahlqvist, Lotta (författare)
- Centre for Clinical Research Sörmland, Uppsala University, Uppsala, Sweden
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visa färre...
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(creator_code:org_t)
- 2014
- Engelska.
- Relaterad länk:
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https://urn.kb.se/re...
Abstract
Ämnesord
Stäng
- Objective: To compare clinical status after three years of treatment and socio-demographic conditions at onset in children with diabetes born to immigrant parents with children to Swedish born parents. Design: Observational nationwide population based cohort-study on prospectively recorded registry data.Setting: All children with diabetes in Sweden and their parents between 2000 and 2010.Patients: 879 children with diabetes born to immigrant parents out of a total of 13 415 children, the immigrant cohort. To these we added 2627 children with diabetes of Swedish born parents, matched for gender, age and year of onset, the Swedish cohort.Main outcome: The immigrant children had a higher median HbA1c, 69 mmol/mol (8.5 %), compared to their Swedish peers 62 (7.8 %), p = 0.002, and the 75th percentile of 72 (8.8 %) vs 70 (8.5 %). There was however no difference in frequency of severe events of hypoglycemia or keto-acidosis between the two cohorts (p = 0.258). A linear regression model with HbA1c as dependent variable pointed out insulin units per kg BW as the main reason for inferior metabolic control, OR 11.410, CI 95% 7.418_15.402, p < 0.001.Conclusions: Children with diabetes born to immigrant parents have worse metabolic status three years after disease onset.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Endokrinologi och diabetes (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Endocrinology and Diabetes (hsv//eng)
Nyckelord
- diabetes type 1
- Medicine
- Medicin
Publikations- och innehållstyp
- vet (ämneskategori)
- ovr (ämneskategori)