Risk for metabolic control problems in minority youth with diabetes

Risk for metabolic control problems in minority youth with diabetes. A M Delamater , K H Shaw , E B Applegate , I A Pratt , M Eidson , G X Lancelotta , L Gonzalez-Mendoza and S Richton University of Miami School of Medicine, FL 33101, USA. adelamat@peds.med.miami.edu Abstract OBJECTIVE: We examined...

Full description

Saved in:

Bibliographic Details
Published in:	Diabetes care Vol. 22; no. 5; pp. 700 - 705
Main Authors:	Delamater, A.M, Shaw, K.H, Applegate, E.B, Pratt, I.A, Eidson, M, Lancelotta, G.X, Gonzalex-Mendoza, L, Righton, S
Format:	Journal Article
Language:	English
Published:	Alexandria, VA American Diabetes Association 01-05-1999
Subjects:	Adolescent adolescents Adult African Americans Age Associated diseases and complications Biological and medical sciences Blacks blood glucose Blood Glucose - metabolism Body Mass Index Child Child, Preschool Children & youth Chronic illnesses Demography Diabetes diabetes mellitus Diabetes Mellitus, Type 2 - blood Diabetes Mellitus, Type 2 - drug therapy Diabetes. Impaired glucose tolerance diabetic acidosis Diabetic ketoacidosis Diabetic Ketoacidosis - epidemiology Endocrine pancreas. Apud cells (diseases) Endocrinopathies Ethnic Groups Female Florida Glycated Hemoglobin A - analysis Health care policy Health insurance Health maintenance organizations Hemoglobin Hispanic Americans Hispanics HMOs Hospitalization Humans Hyperglycemia Hypoglycemic Agents - therapeutic use Infant Insulin Insulin - therapeutic use ketoacidosis Male Medicaid Medical sciences Metabolism Minority & ethnic groups Minority Groups nationalities and ethnic groups Odds Ratio Population Research design Risk Factors Socioeconomic Factors Teenagers United States North America America United States > US Endocrinopathy Human Immunopathology Ethnic origin Negroid Autoimmune disease Acid base balance disorder Metabolic disorder Hyperglycemia Risk rate Ketoacidosis Adolescent Risk factor Insulin dependent diabetes Complication Caucasoid Child Comparative study
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Risk for metabolic control problems in minority youth with diabetes. A M Delamater , K H Shaw , E B Applegate , I A Pratt , M Eidson , G X Lancelotta , L Gonzalez-Mendoza and S Richton University of Miami School of Medicine, FL 33101, USA. adelamat@peds.med.miami.edu Abstract OBJECTIVE: We examined and quantified the degree of risk for poor glycemic control and hospitalizations for diabetic ketoacidosis (DKA) among black, Hispanic, and white children and adolescents with diabetes. RESEARCH DESIGN AND METHODS: We examined ethnic differences in metabolic control among 68 black, 145 Hispanic, and 44 white children and adolescents with type 1 diabetes (mean age 12.9 [range 1-21] years), who were primarily of low socioeconomic status. Clinical and demographic data were obtained by medical chart review. Glycohemoglobins were standardized and compared across ethnic groups. Odds ratios among the ethnic groups for poor glycemic control and hospitalizations for DKA were also calculated. RESULTS: The ethnic groups were not different with respect to age, BMI, insulin dose, or hospitalizations for DKA, but black children were older at the time of diagnosis than Hispanics (P < 0.05) and were less likely to have private health insurance than white and Hispanic children (P < 0.001). Black youths had higher glycohemoglobin levels than white and Hispanic youths (P < 0.001 after controlling for age at diagnosis). Black youths were also at greatest risk for poor glycemic control (OR = 3.9, relative to whites; OR = 2.5, relative to Hispanics). CONCLUSIONS: These results underscore and quantify the increased risk for glycemic control problems of lower-income, black children with diabetes. In the absence of effective intervention, these youths are likely to be overrepresented in the health care system as a result of increased health complications related to diabetes.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0149-5992 1935-5548
DOI:	10.2337/diacare.22.5.700