Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut.
Endocr Pract. 2013 Sep-Oct;19(5):800-4. doi: 10.4158/EP13004.OR.
A pilot study was undertaken to determine whether establishment of a Spanish Language Diabetes Clinic (SLDC) for Spanish-speaking families conducted by a team of Spanish-speaking, Hispanic and nonHispanic clinicians provides a means to improve control of type 1 diabetes (T1D).
The first 21 Hispanic pediatric patients with T1D who enrolled in the SLDC were matched to 21 Hispanic patients treated in the English Language Diabetes Clinic (ELDC) based on age and duration of diabetes. The two groups did not differ significantly with respect to gender, body mass index (BMI), or glycated hemoglobin (HbA1c). Patients in both groups were followed for 12 months.
The mean (± standard deviation) baseline glycated hemoglobin (HbA1c) level in the SLDC group (8.4 ± 1.0%) was similar to that in the ELDC group (8.6 ± 1.4%, P = .83). HbA1c levels fell by 0.5 ± 1.0% (P = .01) during the year following enrollment in the SLDC but did not change significantly from baseline during the year of follow-up in the ELDC group (decrease of 0.2 ± 0.9%, P = .1). At the start of the study, only 5 patients (23%) in the SLDC group and 7 patients (33%) in the ELDC group met the ≤7.5% target HbA1c level. After 1 year, 10 of the SLDC patients (48%) and 4 of ELDC patients (19%) had HbA1c levels ≤7.5% (P = .01).
Our preliminary findings support the hypothesis that overcoming language barriers by the establishment of a SLDC can be an effective means of improving metabolic control in youth with T1D in Hispanic families with limited English language skills.
开展了一项初步研究，旨在确定由讲西班牙语的、西班牙裔和非西班牙裔临床医生组成的西班牙语糖尿病诊所（SLDC）是否为西班牙语裔家庭提供了改善 1 型糖尿病（T1D）控制的方法。
登记入 SLDC 的 21 名西班牙裔儿科 T1D 患者作为研究对象，根据年龄和糖尿病病程与在英语糖尿病诊所（ELDC）治疗的 21 名西班牙裔患者相匹配。两组患者在性别、体重指数（BMI）或糖化血红蛋白（HbA1c）方面无显著差异。两组患者均随访 12 个月。
SLDC 组的平均（±标准差）基线糖化血红蛋白（HbA1c）水平（8.4±1.0%）与 ELDC 组相似（8.6±1.4%，P=0.83）。登记入 SLDC 后 1 年内，HbA1c 水平下降了 0.5±1.0%（P=0.01），而 ELDC 组在随访 1 年内 HbA1c 水平无显著变化（下降 0.2±0.9%，P=0.1）。研究开始时，SLDC 组仅有 5 名（23%）患者和 ELDC 组 7 名（33%）患者的 HbA1c 目标值≤7.5%。1 年后，SLDC 组 10 名（48%）患者和 ELDC 组 4 名（19%）患者的 HbA1c 水平≤7.5%（P=0.01）。
我们的初步研究结果支持以下假设，即通过建立 SLDC 克服语言障碍可以成为改善西班牙语裔家庭中英语语言技能有限的 T1D 青少年代谢控制的有效方法。
