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• W2153337278 abstract "This study was performed to evaluate the influence of ethnicity and socioeconomic status (SES) on metabolic control in a population-based cohort of children with type 1 diabetes mellitus, and to evaluate whether any relationship between ethnicity and HbA1c is mediated by SES. We performed a retrospective review of all patients under age 16 years with type 1 diabetes (n = 555) from 1995 to 2005 in the greater Auckland region, New Zealand. Diabetes care variables and HbA1c values were collected prospectively, during clinic visits. The mean population HbA1c was 8.3 ± 1.3%. Maori and Pacific patients had poorer metabolic control than their European counterparts (9.1% and 9.3% vs 8.1%, p < 0.001) and higher rates of moderate to severe hypoglycaemia (31.1 and 24.8 vs 14.9 events/100 patient-years, p = 0.03). In multiple linear regression analysis, both ethnicity and SES were independently associated with HbA1c (p < 0.001). Other factors associated with higher HbA1c level were longer duration of diabetes, higher insulin dose, lower BMI z score and less frequent blood glucose monitoring (p < 0.001). Both ethnicity and SES independently influenced metabolic control in a large, unselected population of children with type 1 diabetes. Irrespective of SES, Maori and Pacific youth with type 1 diabetes were at greater risk of both moderate to severe hypoglycaemia and long-term complications associated with poor metabolic control." @default.
• W2153337278 created "2016-06-24" @default.
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• W2153337278 date "2008-08-05" @default.
• W2153337278 modified "2023-10-16" @default.
• W2153337278 title "Ethnicity and social deprivation independently influence metabolic control in children with type 1 diabetes" @default.
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• W2153337278 doi "https://doi.org/10.1007/s00125-008-1106-9" @default.
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