Glycaemic control and body mass index in late-adolescents and young adults with type 1 diabetes mellitus: a population-based study

S H Acharya, S Philip, A K Viswanath, M Boroujerdi, N R Waugh, D W M Pearson

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Abstract

Aims Studies of children with diabetes up to the age of 15 years report deteriorating glycaemic control in the early teenage years. The aim was to investigate glycaemia and body mass index in older teenagers and young adults.

Method A Scottish, regional, population-based, cross-sectional study of 255 young people (117 female, 138 male) with Type 1 diabetes, aged 15–25 years (mean ±sd 19.8 ± 2.8 years, diabetes duration: 8.8 ± 5.4 years) registered on a diabetes database. Glycaemic control, body mass index (BMI) and insulin regimens were assessed in three age groups [group 1 (n = 96) 15–18 years; group 2 (n = 74) 18.1–22 years; and group 3 (n = 85) 22.1–25 years].

Results Subjects in the oldest age group had a significantly lower mean HbA1c than those in the youngest age group (8.8 ± 1.7 vs. 9.9 ± 1.9%; P < 0.001). Mean BMI was higher in group 3 (25.2 ± 3.4 kg/m2) compared with group 1 (23.9 ± 3.1 kg/m2; P < 0.001). HbA1c levels were higher in the younger subjects and women. Lower HbA1c levels were associated with a higher BMI (r = -0.324, P < 0.001) in men only. Overall, 74% took three or more injections a day, of whom 60% were on basal/bolus therapy. The proportion on basal/bolus insulin therapy increased with age and duration of diabetes.

Conclusion Compared with adolescents, young adults with Type 1 diabetes have better glycaemic control and higher BMI. This was associated with lower insulin requirements.
Original languageEnglish
Pages (from-to)360-364
Number of pages5
JournalDiabetic Medicine
Volume25
Issue number3
Early online date27 Feb 2008
DOIs
Publication statusPublished - Mar 2008

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Type 1 Diabetes Mellitus
Young Adult
Body Mass Index
Age Groups
Population
Insulin
Cross-Sectional Studies
Databases
Injections
Therapeutics

Keywords

  • adolescence
  • Type 1 diabetes
  • HbA1c
  • BMI

Cite this

Glycaemic control and body mass index in late-adolescents and young adults with type 1 diabetes mellitus : a population-based study. / Acharya, S H; Philip, S; Viswanath, A K; Boroujerdi, M; Waugh, N R; Pearson, D W M.

In: Diabetic Medicine, Vol. 25, No. 3, 03.2008, p. 360-364.

Research output: Contribution to journalArticle

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abstract = "Aims Studies of children with diabetes up to the age of 15 years report deteriorating glycaemic control in the early teenage years. The aim was to investigate glycaemia and body mass index in older teenagers and young adults. Method A Scottish, regional, population-based, cross-sectional study of 255 young people (117 female, 138 male) with Type 1 diabetes, aged 15–25 years (mean ±sd 19.8 ± 2.8 years, diabetes duration: 8.8 ± 5.4 years) registered on a diabetes database. Glycaemic control, body mass index (BMI) and insulin regimens were assessed in three age groups [group 1 (n = 96) 15–18 years; group 2 (n = 74) 18.1–22 years; and group 3 (n = 85) 22.1–25 years]. Results Subjects in the oldest age group had a significantly lower mean HbA1c than those in the youngest age group (8.8 ± 1.7 vs. 9.9 ± 1.9{\%}; P < 0.001). Mean BMI was higher in group 3 (25.2 ± 3.4 kg/m2) compared with group 1 (23.9 ± 3.1 kg/m2; P < 0.001). HbA1c levels were higher in the younger subjects and women. Lower HbA1c levels were associated with a higher BMI (r = -0.324, P < 0.001) in men only. Overall, 74{\%} took three or more injections a day, of whom 60{\%} were on basal/bolus therapy. The proportion on basal/bolus insulin therapy increased with age and duration of diabetes. Conclusion Compared with adolescents, young adults with Type 1 diabetes have better glycaemic control and higher BMI. This was associated with lower insulin requirements.",
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N2 - Aims Studies of children with diabetes up to the age of 15 years report deteriorating glycaemic control in the early teenage years. The aim was to investigate glycaemia and body mass index in older teenagers and young adults. Method A Scottish, regional, population-based, cross-sectional study of 255 young people (117 female, 138 male) with Type 1 diabetes, aged 15–25 years (mean ±sd 19.8 ± 2.8 years, diabetes duration: 8.8 ± 5.4 years) registered on a diabetes database. Glycaemic control, body mass index (BMI) and insulin regimens were assessed in three age groups [group 1 (n = 96) 15–18 years; group 2 (n = 74) 18.1–22 years; and group 3 (n = 85) 22.1–25 years]. Results Subjects in the oldest age group had a significantly lower mean HbA1c than those in the youngest age group (8.8 ± 1.7 vs. 9.9 ± 1.9%; P < 0.001). Mean BMI was higher in group 3 (25.2 ± 3.4 kg/m2) compared with group 1 (23.9 ± 3.1 kg/m2; P < 0.001). HbA1c levels were higher in the younger subjects and women. Lower HbA1c levels were associated with a higher BMI (r = -0.324, P < 0.001) in men only. Overall, 74% took three or more injections a day, of whom 60% were on basal/bolus therapy. The proportion on basal/bolus insulin therapy increased with age and duration of diabetes. Conclusion Compared with adolescents, young adults with Type 1 diabetes have better glycaemic control and higher BMI. This was associated with lower insulin requirements.

AB - Aims Studies of children with diabetes up to the age of 15 years report deteriorating glycaemic control in the early teenage years. The aim was to investigate glycaemia and body mass index in older teenagers and young adults. Method A Scottish, regional, population-based, cross-sectional study of 255 young people (117 female, 138 male) with Type 1 diabetes, aged 15–25 years (mean ±sd 19.8 ± 2.8 years, diabetes duration: 8.8 ± 5.4 years) registered on a diabetes database. Glycaemic control, body mass index (BMI) and insulin regimens were assessed in three age groups [group 1 (n = 96) 15–18 years; group 2 (n = 74) 18.1–22 years; and group 3 (n = 85) 22.1–25 years]. Results Subjects in the oldest age group had a significantly lower mean HbA1c than those in the youngest age group (8.8 ± 1.7 vs. 9.9 ± 1.9%; P < 0.001). Mean BMI was higher in group 3 (25.2 ± 3.4 kg/m2) compared with group 1 (23.9 ± 3.1 kg/m2; P < 0.001). HbA1c levels were higher in the younger subjects and women. Lower HbA1c levels were associated with a higher BMI (r = -0.324, P < 0.001) in men only. Overall, 74% took three or more injections a day, of whom 60% were on basal/bolus therapy. The proportion on basal/bolus insulin therapy increased with age and duration of diabetes. Conclusion Compared with adolescents, young adults with Type 1 diabetes have better glycaemic control and higher BMI. This was associated with lower insulin requirements.

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