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Changes in type 1 diabetes health indicators from high school to college. | LitMetric
Objective : 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.
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