Faculty of Pharmacy, The University of Sydney, Sydney, NSW, Australia.
Pediatr Diabetes. 2011 Mar;12(2):115-9. doi: 10.1111/j.1399-5448.2010.00670.x.
To examine the effect of model of care (specialist care vs. shared care), and income, on glycemic control in a sample of young people with type 1 diabetes.
A total of 158 children and young people with type 1 diabetes, aged 8-19 yr, and their families, were recruited independent of their source of care as part of a longitudinal, cross-sectional exploratory study. At enrollment, participants completed a series of questionnaires and underwent a structured interview to gather data regarding the type of specialist and healthcare services attended, as well as demographic, healthcare, and self-care information. Capillary sample was taken for HbA1c determination.
The mean HbA1c for the group as a whole was 8.6 ± 1.4%. There was no effect for model of care on glycemic control. However, young people living in households with a family income of less than AUS$83,000 (US$73,500) per year had a significantly higher mean HbA1c than their counterparts reporting a higher household income (8.8 ± 1.4% vs. 8.3 ± 1.1%; p = 0.019).
Although no differences were found with respect to the short-term impact of specialist vs. shared care, it is evident that more support is required to improve glycemic control in this sample of young people where the mean level of HbA1c was significantly higher than target. Further research is also indicated to determine the relationship between glycemic control and socioeconomic status.
研究在 1 型糖尿病青年患者样本中，照护模式（专科照护与共照）和收入对血糖控制的影响。
共招募了 158 名年龄在 8-19 岁的 1 型糖尿病儿童和青少年及其家庭，这些患者均独立于他们的照护来源，作为一项纵向、横断面探索性研究的一部分。入组时，参与者完成了一系列问卷并接受了结构化访谈，以收集有关接受的专科医生和医疗服务类型以及人口统计学、医疗保健和自我护理信息的数据。采集毛细血管样本以测定 HbA1c。
总体而言，该组的平均 HbA1c 为 8.6 ± 1.4%。照护模式对血糖控制没有影响。然而，家庭收入低于 83000 澳元（73500 美元）的家庭中的年轻人的平均 HbA1c 明显高于报告较高家庭收入的同龄人（8.8 ± 1.4%比 8.3 ± 1.1%；p = 0.019）。
尽管在专科照护与共照的短期影响方面没有发现差异，但显然需要更多的支持来改善这组年轻人的血糖控制，他们的平均 HbA1c 水平明显高于目标。还需要进一步研究来确定血糖控制与社会经济地位之间的关系。
