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Teenage girls with ...
Teenage girls with type 1 diabetes have poorer metabolic control than boys and face more complications in early adulthood
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- Samuelsson, Ulf (författare)
- Linköpings universitet,Avdelningen för kliniska vetenskaper,Medicinska fakulteten,Region Östergötland, Barn- och ungdomskliniken i Linköping
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- Anderzen, J. (författare)
- Ryhov County Hospital, Sweden
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- Gudbjörnsdottir, Soffia, 1962 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine,University of Gothenburg, Sweden
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- Steineck, I. (författare)
- Copenhagen University Hospital, Denmark
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- Akesson, K. (författare)
- Ryhov County Hospital, Sweden; Jonköping County Council, Sweden
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- Hanberger, Lena (författare)
- Linköpings universitet,Avdelningen för omvårdnad,Medicinska fakulteten
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(creator_code:org_t)
- Elsevier BV, 2016
- 2016
- Engelska.
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Ingår i: Journal of Diabetes and Its Complications. - : Elsevier BV. - 1056-8727 .- 1873-460X. ; 30:5, s. 917-922
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https://liu.diva-por... (primary) (Raw object)
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Aims: To compare metabolic control between males and females with type 1 diabetes during adolescence and as young adults, and relate it to microvascular complications. Methods: Data concerning 4000 adolescents with type 1 diabetes registered in the Swedish paediatric diabetes quality registry, and above the age of 18 years in the Swedish National Diabetes Registry was used. Results: When dividing HbA1c values in three groups; < 7.4% (57 mmol/mol), 7.4-93% (57-78 mmol/mol) and >9.3% (78 mmol/mol), there was a higher proportion of females in the highest group during adolescence. In the group with the highest HbA1c values during adolescence and as adults, 51.7% were females, expected value 46.2%; in the group with low HbA1c values in both registries, 34.2% were females, p < 0.001. As adults, more females had retinopathy, p < 0.05. Females had higher mean HbAlc values at diagnosis, 112 vs. 10.9% (99 vs. 96 mmol/mol), p < 0.03, during adolescence, 8.5 vs. 82% (69 vs. 66 mmol/mol) p < 0.01, but not as young adults. Conclusions: Worse glycaemic control was found in adolescent females, and they had a higher frequency of microvascular complications. Improved paediatric diabetes care is of great importance for increasing the likelihood of lower mortality and morbidity later in life.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Endokrinologi och diabetes (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Endocrinology and Diabetes (hsv//eng)
Nyckelord
- HbA1c
- Type 1 diabetes
- Gender
- Microvascular complications
- Quality of care
- glycemic control
- young-adults
- follow-up
- children
- adolescents
- diagnosis
- gender
- childhood
- mellitus
- sex
- Endocrinology & Metabolism
- HbA1c; Type 1 diabetes; Gender; Microvascular complications; Quality of care
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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