Study assesses glucose monitoring trends in tweens

April 12, 2012
Study assesses glucose monitoring trends in tweens
During the transition to adolescence, children with type 1 diabetes monitor their blood glucose less frequently, resulting in significant increases in HbA1c levels, according to research published online April 3 in Diabetes Care.

(HealthDay) -- During the transition to adolescence, children with type 1 diabetes monitor their blood glucose less frequently, resulting in significant increases in HbA1c levels, according to research published online April 3 in Diabetes Care.

To determine whether adherence and glycemic control change during the transition to adolescence, Joseph R. Rausch, Ph.D., of the Cincinnati Children's Hospital Medical Center, and colleagues conducted a two-year longitudinal study involving 225 children aged 9 to 11 years with .

The researchers found that, over the duration of this two-year study, blood glucose monitoring frequency (BGMF) significantly decreased, from 4.9 to 4.5 checks per day, which correlated with a significant increase in HbA1c, from 8.2 to 8.6 percent. The researchers calculated that just one less check of blood glucose per day resulted in an increase in HbA1c of 1.26 percent.

"The magnitude of the effect of declining treatment adherence (BGMF) on glycemic control in may be even greater than declines observed among older adolescents. BGMF offers a powerful tool for targeted management of glycemic control for type 1 diabetes during the critical transition to adolescence," the authors write.

Explore further: Educational interventions appear to be effective for patients with poorly controlled diabetes

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