Changes in type 1 diabetes health indicators from high school to college |
| |
| Authors: | Maureen Monaghan Megan McCormick King Vanessa Alvarez Fran R Cogen Jichuan Wang |
| |
| Institution: | 1. Children's National Health System Washington, DC;2. Department of Pediatrics, George Washington University School of Medicine Washington, DCmmonagha@childrensnational.org;4. Department of Pediatrics, George Washington University School of Medicine Washington, DC;5. Department of Epidemiology and Biostatistics, George Washington University School of Medicine Washington, DC |
| |
| Abstract: | ABSTRACTObjective: Evaluate trajectories of type 1 diabetes health indicators from high school through the first year of college. Participants: Seventy-four students with type 1 diabetes who maintained pediatric endocrinology care during the first year of college. Methods: Hemoglobin A1c (HbA1c), blood glucose monitoring frequency, body mass index (BMI), and clinic attendance data were collected via retrospective medical chart review in spring 2012. Group-based trajectory models evaluated diabetes-related health indicators over time and identified distinct growth trajectory groups. Results: BMI increased and clinic attendance decreased in the first year of college. Trajectories for other health indicators were heterogeneous and stable over time; 69% of students were classified as having stable good glycemic control. Racial minority youth and youth on conventional insulin regimens were disproportionally represented in higher-risk groups. Conclusions: Diabetes health indicators are stable or decline upon college entrance. Results signal the need for targeted support for college students with type 1 diabetes. |
| |
| Keywords: | Adherence clinical medicine diabetes young adults |
|
|
