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Glycemic control, associated factors, acute complications of Type 1 Diabetes Mellitus in children, adolescents and young adults in Tanzania
Objective To determine the factors associated with poor glycemic control in children (1‐10 years), adolescents (11‐18 years) and young adults (19‐40 years) with Type 1 Diabetes Mellitus (T1DM) in Kilimanjaro Christian Medical Center (KCMC) in Moshi, Mount Meru Regional Referral Hospital (MMRRH) and...
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| Published in: | Endocrinology, diabetes & metabolism diabetes & metabolism, 2021-04, Vol.4 (2), p.e00200-n/a |
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| container_title | Endocrinology, diabetes & metabolism |
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| creator | McLarty, Ronald P. Alloyce, Julius P. Chitema, Grace G. Msuya, Levina J. |
| description | Objective
To determine the factors associated with poor glycemic control in children (1‐10 years), adolescents (11‐18 years) and young adults (19‐40 years) with Type 1 Diabetes Mellitus (T1DM) in Kilimanjaro Christian Medical Center (KCMC) in Moshi, Mount Meru Regional Referral Hospital (MMRRH) and Meru District Hospital (MDH) in Arusha, Tanzania.
Methods
Cross sectional study of 150 participants conducted from January to June 2019, data was collected by structured questionnaire and analyzed using SPSS version 23.
Results
The mean HbA1c was 12.3 ± 2.2%, 146 had poor glycemic control (HbA1c > 7.5%). BMI, insulin regime and caretaker education were associated with poor glycemic control. There were 16 participants diagnosed in DKA and the most frequently reported complications in the prior 3 months were hyperglycemia (n = 25), DKA (n = 18) and hypoglycemia (n = 4).
Conclusions
Glycemic control is still very poor particularly in adolescents. Significant associations with glycemic control were higher BMI, insulin regime and guardian education. The study revealed lower prevalence of DKA at diagnosis compared to previous studies.
A study looking at glycemic control in T1DM children, adolescents and young adults in Tanzania that reports on the proportion, riskfactors for poor glycemic control and acute complications in this same population. |
| doi_str_mv | 10.1002/edm2.200 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_d1bcab740e2842008f6e765aab977f05</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_d1bcab740e2842008f6e765aab977f05</doaj_id><sourcerecordid>2615448235</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5320-b98a2cffcaab64f03ada6445609571278880009dadd87102ef54d945e77a551b3</originalsourceid><addsrcrecordid>eNp9ktFuFCEUhidGY5vaxCcwJN544VZgYAZuTExba5M23qzX5AwwWxoGVmBq1lfwpWW7tdma6BXk8PGf8_85TfOa4BOCMf1gzURPKMbPmkPaSrGQtBXP9-4HzXHOtxhjIqXsMH3ZHLSt4Jzi7rD5deE32k5OIx1DSdG_R5Bz1A6KNWgEXWLKtabnYisyrb3TUFwMGcURLTdriwg6czDYYjO6tt67MmfkAtI3zptkQ_1sordZ21AygmDQJs5hVauzL_fkEsJPCA5eNS9G8NkeP5xHzbfP58vTL4urrxeXp5-uFpq3FC8GKYDqcdQAQ8dG3IKBjjHeYcl7QnshRDUrDRgjeoKpHTkzknHb98A5Gdqj5nKnayLcqnVyE6SNiuDUfSGmlYJUnPZWGTJoGHqGLRWsZizGzvYdr51l34-YV62PO631PEzWbE0m8E9En74Ed6NW8U4JTOu4W4F3DwIpfp9tLmpyNSvvIdg4Z0U5aSnriWQVffsXehvnFGpUinaEMyZoy_9L8RoRb4XYa6tTzDnZ8XFkgtV2rdR2rVS1XNE3-xYfwT9LVIHFDvjhvN38U0idn13TreBvYzPWSQ</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2509553885</pqid></control><display><type>article</type><title>Glycemic control, associated factors, acute complications of Type 1 Diabetes Mellitus in children, adolescents and young adults in Tanzania</title><source>Access via ProQuest (Open Access)</source><source>Wiley_OA刊</source><source>PubMed Central</source><creator>McLarty, Ronald P. ; Alloyce, Julius P. ; Chitema, Grace G. ; Msuya, Levina J.</creator><creatorcontrib>McLarty, Ronald P. ; Alloyce, Julius P. ; Chitema, Grace G. ; Msuya, Levina J.</creatorcontrib><description>Objective
To determine the factors associated with poor glycemic control in children (1‐10 years), adolescents (11‐18 years) and young adults (19‐40 years) with Type 1 Diabetes Mellitus (T1DM) in Kilimanjaro Christian Medical Center (KCMC) in Moshi, Mount Meru Regional Referral Hospital (MMRRH) and Meru District Hospital (MDH) in Arusha, Tanzania.
Methods
Cross sectional study of 150 participants conducted from January to June 2019, data was collected by structured questionnaire and analyzed using SPSS version 23.
Results
The mean HbA1c was 12.3 ± 2.2%, 146 had poor glycemic control (HbA1c > 7.5%). BMI, insulin regime and caretaker education were associated with poor glycemic control. There were 16 participants diagnosed in DKA and the most frequently reported complications in the prior 3 months were hyperglycemia (n = 25), DKA (n = 18) and hypoglycemia (n = 4).
Conclusions
Glycemic control is still very poor particularly in adolescents. Significant associations with glycemic control were higher BMI, insulin regime and guardian education. The study revealed lower prevalence of DKA at diagnosis compared to previous studies.
A study looking at glycemic control in T1DM children, adolescents and young adults in Tanzania that reports on the proportion, riskfactors for poor glycemic control and acute complications in this same population.</description><identifier>ISSN: 2398-9238</identifier><identifier>EISSN: 2398-9238</identifier><identifier>DOI: 10.1002/edm2.200</identifier><identifier>PMID: 33855206</identifier><language>eng</language><publisher>England: John Wiley & Sons, Inc</publisher><subject>acute complications ; Adolescent ; Adult ; Age Factors ; associated factors ; Biomarkers - blood ; Body Mass Index ; Child ; Child, Preschool ; Children & youth ; Clinics ; Cross-Sectional Studies ; Diabetes ; Diabetes Mellitus, Type 1 - complications ; Diabetes Mellitus, Type 1 - diagnosis ; Diabetes Mellitus, Type 1 - drug therapy ; Diabetes Mellitus, Type 1 - epidemiology ; Diabetic Ketoacidosis - epidemiology ; Diabetic Ketoacidosis - etiology ; Education ; Female ; Glycated Hemoglobin ; glycemic control ; Glycemic Control - statistics & numerical data ; Health Education ; Humans ; Hyperglycemia - epidemiology ; Hyperglycemia - etiology ; Infant ; Insulin ; Insulin - administration & dosage ; Interviews ; Legal Guardians ; Male ; Original ; Original s ; Overweight ; Primary care ; Questionnaires ; Risk Factors ; Sociodemographics ; Standard deviation ; Surveys and Questionnaires ; Tanzania - epidemiology ; Teenagers ; Treatment Failure ; Variables ; Young Adult ; Young adults</subject><ispartof>Endocrinology, diabetes & metabolism, 2021-04, Vol.4 (2), p.e00200-n/a</ispartof><rights>2020 The Authors. published by John Wiley & Sons Ltd.</rights><rights>2020 The Authors. Endocrinology, Diabetes & Metabolism published by John Wiley & Sons Ltd.</rights><rights>2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5320-b98a2cffcaab64f03ada6445609571278880009dadd87102ef54d945e77a551b3</citedby><cites>FETCH-LOGICAL-c5320-b98a2cffcaab64f03ada6445609571278880009dadd87102ef54d945e77a551b3</cites><orcidid>0000-0002-5459-9659</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2615448235/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2615448235?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,11562,25753,27924,27925,37012,37013,44590,46052,46476,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33855206$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McLarty, Ronald P.</creatorcontrib><creatorcontrib>Alloyce, Julius P.</creatorcontrib><creatorcontrib>Chitema, Grace G.</creatorcontrib><creatorcontrib>Msuya, Levina J.</creatorcontrib><title>Glycemic control, associated factors, acute complications of Type 1 Diabetes Mellitus in children, adolescents and young adults in Tanzania</title><title>Endocrinology, diabetes & metabolism</title><addtitle>Endocrinol Diabetes Metab</addtitle><description>Objective
To determine the factors associated with poor glycemic control in children (1‐10 years), adolescents (11‐18 years) and young adults (19‐40 years) with Type 1 Diabetes Mellitus (T1DM) in Kilimanjaro Christian Medical Center (KCMC) in Moshi, Mount Meru Regional Referral Hospital (MMRRH) and Meru District Hospital (MDH) in Arusha, Tanzania.
Methods
Cross sectional study of 150 participants conducted from January to June 2019, data was collected by structured questionnaire and analyzed using SPSS version 23.
Results
The mean HbA1c was 12.3 ± 2.2%, 146 had poor glycemic control (HbA1c > 7.5%). BMI, insulin regime and caretaker education were associated with poor glycemic control. There were 16 participants diagnosed in DKA and the most frequently reported complications in the prior 3 months were hyperglycemia (n = 25), DKA (n = 18) and hypoglycemia (n = 4).
Conclusions
Glycemic control is still very poor particularly in adolescents. Significant associations with glycemic control were higher BMI, insulin regime and guardian education. The study revealed lower prevalence of DKA at diagnosis compared to previous studies.
A study looking at glycemic control in T1DM children, adolescents and young adults in Tanzania that reports on the proportion, riskfactors for poor glycemic control and acute complications in this same population.</description><subject>acute complications</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>associated factors</subject><subject>Biomarkers - blood</subject><subject>Body Mass Index</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children & youth</subject><subject>Clinics</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 1 - complications</subject><subject>Diabetes Mellitus, Type 1 - diagnosis</subject><subject>Diabetes Mellitus, Type 1 - drug therapy</subject><subject>Diabetes Mellitus, Type 1 - epidemiology</subject><subject>Diabetic Ketoacidosis - epidemiology</subject><subject>Diabetic Ketoacidosis - etiology</subject><subject>Education</subject><subject>Female</subject><subject>Glycated Hemoglobin</subject><subject>glycemic control</subject><subject>Glycemic Control - statistics & numerical data</subject><subject>Health Education</subject><subject>Humans</subject><subject>Hyperglycemia - epidemiology</subject><subject>Hyperglycemia - etiology</subject><subject>Infant</subject><subject>Insulin</subject><subject>Insulin - administration & dosage</subject><subject>Interviews</subject><subject>Legal Guardians</subject><subject>Male</subject><subject>Original</subject><subject>Original s</subject><subject>Overweight</subject><subject>Primary care</subject><subject>Questionnaires</subject><subject>Risk Factors</subject><subject>Sociodemographics</subject><subject>Standard deviation</subject><subject>Surveys and Questionnaires</subject><subject>Tanzania - epidemiology</subject><subject>Teenagers</subject><subject>Treatment Failure</subject><subject>Variables</subject><subject>Young Adult</subject><subject>Young adults</subject><issn>2398-9238</issn><issn>2398-9238</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp9ktFuFCEUhidGY5vaxCcwJN544VZgYAZuTExba5M23qzX5AwwWxoGVmBq1lfwpWW7tdma6BXk8PGf8_85TfOa4BOCMf1gzURPKMbPmkPaSrGQtBXP9-4HzXHOtxhjIqXsMH3ZHLSt4Jzi7rD5deE32k5OIx1DSdG_R5Bz1A6KNWgEXWLKtabnYisyrb3TUFwMGcURLTdriwg6czDYYjO6tt67MmfkAtI3zptkQ_1sordZ21AygmDQJs5hVauzL_fkEsJPCA5eNS9G8NkeP5xHzbfP58vTL4urrxeXp5-uFpq3FC8GKYDqcdQAQ8dG3IKBjjHeYcl7QnshRDUrDRgjeoKpHTkzknHb98A5Gdqj5nKnayLcqnVyE6SNiuDUfSGmlYJUnPZWGTJoGHqGLRWsZizGzvYdr51l34-YV62PO631PEzWbE0m8E9En74Ed6NW8U4JTOu4W4F3DwIpfp9tLmpyNSvvIdg4Z0U5aSnriWQVffsXehvnFGpUinaEMyZoy_9L8RoRb4XYa6tTzDnZ8XFkgtV2rdR2rVS1XNE3-xYfwT9LVIHFDvjhvN38U0idn13TreBvYzPWSQ</recordid><startdate>202104</startdate><enddate>202104</enddate><creator>McLarty, Ronald P.</creator><creator>Alloyce, Julius P.</creator><creator>Chitema, Grace G.</creator><creator>Msuya, Levina J.</creator><general>John Wiley & Sons, Inc</general><general>John Wiley and Sons Inc</general><general>Wiley</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-5459-9659</orcidid></search><sort><creationdate>202104</creationdate><title>Glycemic control, associated factors, acute complications of Type 1 Diabetes Mellitus in children, adolescents and young adults in Tanzania</title><author>McLarty, Ronald P. ; Alloyce, Julius P. ; Chitema, Grace G. ; Msuya, Levina J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5320-b98a2cffcaab64f03ada6445609571278880009dadd87102ef54d945e77a551b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>acute complications</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>associated factors</topic><topic>Biomarkers - blood</topic><topic>Body Mass Index</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children & youth</topic><topic>Clinics</topic><topic>Cross-Sectional Studies</topic><topic>Diabetes</topic><topic>Diabetes Mellitus, Type 1 - complications</topic><topic>Diabetes Mellitus, Type 1 - diagnosis</topic><topic>Diabetes Mellitus, Type 1 - drug therapy</topic><topic>Diabetes Mellitus, Type 1 - epidemiology</topic><topic>Diabetic Ketoacidosis - epidemiology</topic><topic>Diabetic Ketoacidosis - etiology</topic><topic>Education</topic><topic>Female</topic><topic>Glycated Hemoglobin</topic><topic>glycemic control</topic><topic>Glycemic Control - statistics & numerical data</topic><topic>Health Education</topic><topic>Humans</topic><topic>Hyperglycemia - epidemiology</topic><topic>Hyperglycemia - etiology</topic><topic>Infant</topic><topic>Insulin</topic><topic>Insulin - administration & dosage</topic><topic>Interviews</topic><topic>Legal Guardians</topic><topic>Male</topic><topic>Original</topic><topic>Original s</topic><topic>Overweight</topic><topic>Primary care</topic><topic>Questionnaires</topic><topic>Risk Factors</topic><topic>Sociodemographics</topic><topic>Standard deviation</topic><topic>Surveys and Questionnaires</topic><topic>Tanzania - epidemiology</topic><topic>Teenagers</topic><topic>Treatment Failure</topic><topic>Variables</topic><topic>Young Adult</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McLarty, Ronald P.</creatorcontrib><creatorcontrib>Alloyce, Julius P.</creatorcontrib><creatorcontrib>Chitema, Grace G.</creatorcontrib><creatorcontrib>Msuya, Levina J.</creatorcontrib><collection>Wiley_OA刊</collection><collection>Wiley Online Library Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Endocrinology, diabetes & metabolism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McLarty, Ronald P.</au><au>Alloyce, Julius P.</au><au>Chitema, Grace G.</au><au>Msuya, Levina J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Glycemic control, associated factors, acute complications of Type 1 Diabetes Mellitus in children, adolescents and young adults in Tanzania</atitle><jtitle>Endocrinology, diabetes & metabolism</jtitle><addtitle>Endocrinol Diabetes Metab</addtitle><date>2021-04</date><risdate>2021</risdate><volume>4</volume><issue>2</issue><spage>e00200</spage><epage>n/a</epage><pages>e00200-n/a</pages><issn>2398-9238</issn><eissn>2398-9238</eissn><abstract>Objective
To determine the factors associated with poor glycemic control in children (1‐10 years), adolescents (11‐18 years) and young adults (19‐40 years) with Type 1 Diabetes Mellitus (T1DM) in Kilimanjaro Christian Medical Center (KCMC) in Moshi, Mount Meru Regional Referral Hospital (MMRRH) and Meru District Hospital (MDH) in Arusha, Tanzania.
Methods
Cross sectional study of 150 participants conducted from January to June 2019, data was collected by structured questionnaire and analyzed using SPSS version 23.
Results
The mean HbA1c was 12.3 ± 2.2%, 146 had poor glycemic control (HbA1c > 7.5%). BMI, insulin regime and caretaker education were associated with poor glycemic control. There were 16 participants diagnosed in DKA and the most frequently reported complications in the prior 3 months were hyperglycemia (n = 25), DKA (n = 18) and hypoglycemia (n = 4).
Conclusions
Glycemic control is still very poor particularly in adolescents. Significant associations with glycemic control were higher BMI, insulin regime and guardian education. The study revealed lower prevalence of DKA at diagnosis compared to previous studies.
A study looking at glycemic control in T1DM children, adolescents and young adults in Tanzania that reports on the proportion, riskfactors for poor glycemic control and acute complications in this same population.</abstract><cop>England</cop><pub>John Wiley & Sons, Inc</pub><pmid>33855206</pmid><doi>10.1002/edm2.200</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-5459-9659</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | acute complications Adolescent Adult Age Factors associated factors Biomarkers - blood Body Mass Index Child Child, Preschool Children & youth Clinics Cross-Sectional Studies Diabetes Diabetes Mellitus, Type 1 - complications Diabetes Mellitus, Type 1 - diagnosis Diabetes Mellitus, Type 1 - drug therapy Diabetes Mellitus, Type 1 - epidemiology Diabetic Ketoacidosis - epidemiology Diabetic Ketoacidosis - etiology Education Female Glycated Hemoglobin glycemic control Glycemic Control - statistics & numerical data Health Education Humans Hyperglycemia - epidemiology Hyperglycemia - etiology Infant Insulin Insulin - administration & dosage Interviews Legal Guardians Male Original Original s Overweight Primary care Questionnaires Risk Factors Sociodemographics Standard deviation Surveys and Questionnaires Tanzania - epidemiology Teenagers Treatment Failure Variables Young Adult Young adults |
| title | Glycemic control, associated factors, acute complications of Type 1 Diabetes Mellitus in children, adolescents and young adults in Tanzania |
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