Socioeconomic deprivation, technology use, C‐peptide, smoking and other predictors of glycaemic control in adults with type 1 diabetes

Aims Intensive glycaemic control is associated with substantial health benefits in people with type 1 diabetes. We sought to examine clinical and demographic factors associated with meeting glycaemic targets in type 1 diabetes. Methods We conducted a cross‐sectional analysis of 4594 individuals with...

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Bibliographic Details
Published in:Diabetic medicine 2021-03, Vol.38 (3), p.e14445-n/a
Main Authors: Dover, Anna R., Strachan, Mark W. J., McKnight, John A., Stimson, Roland H., Mackenzie, Scott D., Lyall, Marcus J., Wright, Rohana J., Forbes, Shareen, Gibb, Fraser W.
Format: Article
Language:English
Subjects:
Adult
Attitude to Computers
Blood Glucose - analysis
Blood Glucose - metabolism
Blood Glucose Self-Monitoring
C-Peptide - blood
Cross-Sectional Studies
devices
Diabetes
Diabetes mellitus (insulin dependent)
Diabetes Mellitus, Type 1 - blood
Diabetes Mellitus, Type 1 - diagnosis
Diabetes Mellitus, Type 1 - epidemiology
Diabetes Mellitus, Type 1 - therapy
Epidemiology
Female
Glycated Hemoglobin A - analysis
Glycated Hemoglobin A - metabolism
Glycemic Control - methods
Glycemic Control - psychology
Glycemic Control - statistics & numerical data
healthcare delivery
Humans
Insulin
insulin therapy
Male
Middle Aged
Multivariate analysis
Peptides
Prognosis
Psychosocial Deprivation
Risk Factors
Smoking
Smoking - blood
Smoking - epidemiology
Smoking - psychology
Socioeconomic Factors
Technology - statistics & numerical data
United Kingdom - epidemiology
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Summary:Aims Intensive glycaemic control is associated with substantial health benefits in people with type 1 diabetes. We sought to examine clinical and demographic factors associated with meeting glycaemic targets in type 1 diabetes. Methods We conducted a cross‐sectional analysis of 4594 individuals with type 1 diabetes. The primary outcome of the study was assessing factors associated with meeting HbA1c targets. Secondary endpoints included factors associated with continuous subcutaneous insulin infusion (CSII) use and persistent C‐peptide secretion. Results Socioeconomic deprivation was strongly associated with a lower likelihood of achieving an HbA1c
ISSN:0742-3071
1464-5491
DOI:10.1111/dme.14445