Abstract
The paucity of data on Type 1 diabetes in China hinders progress in care and policy-making. This study compares Type 1 diabetes care and clinical outcomes in Beijing and Shantou with current clinical guidelines. The 3C Study was a cross-sectional study of the clinical practices and outcomes of people with Type 1 diabetes. The study sequentially enrolled 849 participants from hospital records, inpatient wards, and outpatient clinics. Data were collected via face-to-face interviews with patients and health professionals, the Summary of Diabetes Self-Care Activities, medical records, and venous blood samples. Care was audited using ISPAD/IDF indicators. Data underwent descriptive analysis and tests for association. The median age was 22years (IQR=13-34years), and 48.4% of the sample had diabetes less than six years. The median HbA1c was 8.5% (69mmol/mol) (IQR 7.2-10.5%), with significant regional variance (p=0.002). Insulin treatment was predominantly two injections/day (45% of patients). The highest incidence of diabetic ketoacidosis was 14.4 events/100 patient years among adolescents. Of the 57.3% of patients with LDL-C>2.6mmol/L, only 11.2% received treatment. Of the 10.6% considered hypertensive, 47.1% received treatment. Rate...Continue Reading
Citations
Mar 8, 2018·Diabetic Medicine : a Journal of the British Diabetic Association·L HuoD Whiting
Feb 3, 2018·Diabetologia·Ronald C W Ma
Sep 27, 2018·JMIR MHealth and UHealth·Yiyu ZhangZhiguang Zhou
Aug 15, 2019·Journal of Clinical Nursing·Dan LuoMing-Zi Li
Jun 12, 2019·Endocrine Research·Wei LiuLinong Ji
Apr 3, 2020·The Journal of Clinical Endocrinology and Metabolism·Xia LiZhiguang Zhou
Feb 23, 2020·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Qianyue XuYan Bi
Mar 7, 2020·JMIR MHealth and UHealth·Yiyu ZhangZhiguang Zhou
Jul 28, 2019·Western Journal of Nursing Research·Hyung-Eun SeoJihye Choi
Feb 9, 2019·JMIR MHealth and UHealth·Yiyu ZhangZhiguang Zhou
Mar 11, 2020·BMC Endocrine Disorders·Yuting XieZhiguang Zhou
Nov 24, 2020·Trials·Fansu HuangZhiguang Zhou
Feb 26, 2021·Diabetes Care·Xueying ZhengUNKNOWN CARNATION Study Group
Mar 4, 2021·Journal of Clinical Nursing·Dan LuoMingzi Li
May 5, 2021·Patient Education and Counseling·Bingwen LiuZhiguang Zhou