Target setting in intensive insulin management is associated with metabolic control: the Hvidoere childhood diabetes study group centre differences study 2005

P G F Swift; T C Skinner; C E de Beaufort; F J Cameron; J Aman; H-J Aanstoot; L Castaño; F Chiarelli; D Daneman; T Danne; H Dorchy; H Hoey; E A Kaprio; F Kaufman; M Kocova; H B Mortensen; P R Njølstad; M Phillip; K J Robertson; E J Schoenle; T Urakami; M Vanelli; R W Ackermann; S E Skovlund; Hvidoere Study Group on Childhood Diabetes

doi:10.1111/j.1399-5448.2009.00596.x

Target setting in intensive insulin management is associated with metabolic control: the Hvidoere childhood diabetes study group centre differences study 2005

P G F Swift, T C Skinner, C E de Beaufort, F J Cameron, J Aman, H-J Aanstoot, L Castaño, F Chiarelli, D Daneman, T Danne, H Dorchy, H Hoey, E A Kaprio, F Kaufman, M Kocova, H B Mortensen, P R Njølstad, M Phillip, K J Robertson, E J SchoenleT Urakami, M Vanelli, R W Ackermann, S E Skovlund, Hvidoere Study Group on Childhood Diabetes

Research output: Contribution to journal › Journal article › Research › peer-review

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Abstract

OBJECTIVE: To evaluate glycaemic targets set by diabetes teams, their perception by adolescents and parents, and their influence on metabolic control.

METHODS: Clinical data and questionnaires were completed by adolescents, parents/carers and diabetes teams in 21 international centres. HbA1c was measured centrally.

RESULTS: A total of 2062 adolescents completed questionnaires (age 14.4 +/- 2.3 yr; diabetes duration 6.1 +/- 3.5 yr). Mean HbA 1c = 8.2 +/- 1.4% with significant differences between centres (F = 12.3; p < 0.001) range from 7.4 to 9.1%. There was a significant correlation between parent (r = 0.20) and adolescent (r = 0.21) reports of their perceived ideal HbA1c and their actual HbA1c result (p < 0.001), and a stronger association between parents' (r = 0.39) and adolescents' (r = 0.4) reports of the HbA1c they would be happy with and their actual HbA1c result. There were significant differences between centres on parent and adolescent reports of ideal and happy with HbA1c (8.1 < F > 17.4;p < 0.001). A lower target HbA1c and greater consistency between members of teams within centres were associated with lower centre HbA1c (F = 16.0; df = 15; p < 0.001).

CONCLUSIONS: Clear and consistent setting of glycaemic targets by diabetes teams is strongly associated with HbA1c outcome in adolescents. Target setting appears to play a significant role in explaining the differences in metabolic outcomes between centres.

Original language	English
Journal	Pediatric Diabetes
Volume	11
Issue number	4
Pages (from-to)	271-8
Number of pages	8
ISSN	1399-543X
DOIs	https://doi.org/10.1111/j.1399-5448.2009.00596.x
Publication status	Published - Jun 2010

Keywords

Adolescent
Blood Glucose
Child
Cross-Sectional Studies
Diabetes Mellitus
Female
Glycated Hemoglobin A
Humans
Hypoglycemic Agents
Insulin
Male
Parents
Practice Guidelines as Topic
Treatment Outcome
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

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Swift, P. G. F., Skinner, T. C., de Beaufort, C. E., Cameron, F. J., Aman, J., Aanstoot, H-J., Castaño, L., Chiarelli, F., Daneman, D., Danne, T., Dorchy, H., Hoey, H., Kaprio, E. A., Kaufman, F., Kocova, M., Mortensen, H. B., Njølstad, P. R., Phillip, M., Robertson, K. J., ... Hvidoere Study Group on Childhood Diabetes (2010). Target setting in intensive insulin management is associated with metabolic control: the Hvidoere childhood diabetes study group centre differences study 2005. Pediatric Diabetes, 11(4), 271-8. https://doi.org/10.1111/j.1399-5448.2009.00596.x

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title = "Target setting in intensive insulin management is associated with metabolic control: the Hvidoere childhood diabetes study group centre differences study 2005",

abstract = "OBJECTIVE: To evaluate glycaemic targets set by diabetes teams, their perception by adolescents and parents, and their influence on metabolic control.METHODS: Clinical data and questionnaires were completed by adolescents, parents/carers and diabetes teams in 21 international centres. HbA1c was measured centrally.RESULTS: A total of 2062 adolescents completed questionnaires (age 14.4 +/- 2.3 yr; diabetes duration 6.1 +/- 3.5 yr). Mean HbA 1c = 8.2 +/- 1.4% with significant differences between centres (F = 12.3; p < 0.001) range from 7.4 to 9.1%. There was a significant correlation between parent (r = 0.20) and adolescent (r = 0.21) reports of their perceived ideal HbA1c and their actual HbA1c result (p < 0.001), and a stronger association between parents' (r = 0.39) and adolescents' (r = 0.4) reports of the HbA1c they would be happy with and their actual HbA1c result. There were significant differences between centres on parent and adolescent reports of ideal and happy with HbA1c (8.1 < F > 17.4;p < 0.001). A lower target HbA1c and greater consistency between members of teams within centres were associated with lower centre HbA1c (F = 16.0; df = 15; p < 0.001).CONCLUSIONS: Clear and consistent setting of glycaemic targets by diabetes teams is strongly associated with HbA1c outcome in adolescents. Target setting appears to play a significant role in explaining the differences in metabolic outcomes between centres.",

keywords = "Adolescent, Blood Glucose, Child, Cross-Sectional Studies, Diabetes Mellitus, Female, Glycated Hemoglobin A, Humans, Hypoglycemic Agents, Insulin, Male, Parents, Practice Guidelines as Topic, Treatment Outcome, Journal Article, Multicenter Study, Research Support, Non-U.S. Gov't",

author = "Swift, {P G F} and Skinner, {T C} and {de Beaufort}, {C E} and Cameron, {F J} and J Aman and H-J Aanstoot and L Casta{\~n}o and F Chiarelli and D Daneman and T Danne and H Dorchy and H Hoey and Kaprio, {E A} and F Kaufman and M Kocova and Mortensen, {H B} and Nj{\o}lstad, {P R} and M Phillip and Robertson, {K J} and Schoenle, {E J} and T Urakami and M Vanelli and Ackermann, {R W} and Skovlund, {S E} and {Hvidoere Study Group on Childhood Diabetes}",

year = "2010",

month = jun,

doi = "10.1111/j.1399-5448.2009.00596.x",

language = "English",

volume = "11",

pages = "271--8",

journal = "Pediatric Diabetes",

issn = "1399-543X",

publisher = "Munksgaard ",

number = "4",

}

Swift, PGF, Skinner, TC, de Beaufort, CE, Cameron, FJ, Aman, J, Aanstoot, H-J, Castaño, L, Chiarelli, F, Daneman, D, Danne, T, Dorchy, H, Hoey, H, Kaprio, EA, Kaufman, F, Kocova, M, Mortensen, HB, Njølstad, PR, Phillip, M, Robertson, KJ, Schoenle, EJ, Urakami, T, Vanelli, M, Ackermann, RW, Skovlund, SE & Hvidoere Study Group on Childhood Diabetes 2010, 'Target setting in intensive insulin management is associated with metabolic control: the Hvidoere childhood diabetes study group centre differences study 2005', Pediatric Diabetes, vol. 11, no. 4, pp. 271-8. https://doi.org/10.1111/j.1399-5448.2009.00596.x

TY - JOUR

T1 - Target setting in intensive insulin management is associated with metabolic control

T2 - the Hvidoere childhood diabetes study group centre differences study 2005

AU - Swift, P G F

AU - Skinner, T C

AU - de Beaufort, C E

AU - Cameron, F J

AU - Aman, J

AU - Aanstoot, H-J

AU - Castaño, L

AU - Chiarelli, F

AU - Daneman, D

AU - Danne, T

AU - Dorchy, H

AU - Hoey, H

AU - Kaprio, E A

AU - Kaufman, F

AU - Kocova, M

AU - Mortensen, H B

AU - Njølstad, P R

AU - Phillip, M

AU - Robertson, K J

AU - Schoenle, E J

AU - Urakami, T

AU - Vanelli, M

AU - Ackermann, R W

AU - Skovlund, S E

AU - Hvidoere Study Group on Childhood Diabetes

PY - 2010/6

Y1 - 2010/6

N2 - OBJECTIVE: To evaluate glycaemic targets set by diabetes teams, their perception by adolescents and parents, and their influence on metabolic control.METHODS: Clinical data and questionnaires were completed by adolescents, parents/carers and diabetes teams in 21 international centres. HbA1c was measured centrally.RESULTS: A total of 2062 adolescents completed questionnaires (age 14.4 +/- 2.3 yr; diabetes duration 6.1 +/- 3.5 yr). Mean HbA 1c = 8.2 +/- 1.4% with significant differences between centres (F = 12.3; p < 0.001) range from 7.4 to 9.1%. There was a significant correlation between parent (r = 0.20) and adolescent (r = 0.21) reports of their perceived ideal HbA1c and their actual HbA1c result (p < 0.001), and a stronger association between parents' (r = 0.39) and adolescents' (r = 0.4) reports of the HbA1c they would be happy with and their actual HbA1c result. There were significant differences between centres on parent and adolescent reports of ideal and happy with HbA1c (8.1 < F > 17.4;p < 0.001). A lower target HbA1c and greater consistency between members of teams within centres were associated with lower centre HbA1c (F = 16.0; df = 15; p < 0.001).CONCLUSIONS: Clear and consistent setting of glycaemic targets by diabetes teams is strongly associated with HbA1c outcome in adolescents. Target setting appears to play a significant role in explaining the differences in metabolic outcomes between centres.

AB - OBJECTIVE: To evaluate glycaemic targets set by diabetes teams, their perception by adolescents and parents, and their influence on metabolic control.METHODS: Clinical data and questionnaires were completed by adolescents, parents/carers and diabetes teams in 21 international centres. HbA1c was measured centrally.RESULTS: A total of 2062 adolescents completed questionnaires (age 14.4 +/- 2.3 yr; diabetes duration 6.1 +/- 3.5 yr). Mean HbA 1c = 8.2 +/- 1.4% with significant differences between centres (F = 12.3; p < 0.001) range from 7.4 to 9.1%. There was a significant correlation between parent (r = 0.20) and adolescent (r = 0.21) reports of their perceived ideal HbA1c and their actual HbA1c result (p < 0.001), and a stronger association between parents' (r = 0.39) and adolescents' (r = 0.4) reports of the HbA1c they would be happy with and their actual HbA1c result. There were significant differences between centres on parent and adolescent reports of ideal and happy with HbA1c (8.1 < F > 17.4;p < 0.001). A lower target HbA1c and greater consistency between members of teams within centres were associated with lower centre HbA1c (F = 16.0; df = 15; p < 0.001).CONCLUSIONS: Clear and consistent setting of glycaemic targets by diabetes teams is strongly associated with HbA1c outcome in adolescents. Target setting appears to play a significant role in explaining the differences in metabolic outcomes between centres.

KW - Adolescent

KW - Blood Glucose

KW - Child

KW - Cross-Sectional Studies

KW - Diabetes Mellitus

KW - Female

KW - Glycated Hemoglobin A

KW - Humans

KW - Hypoglycemic Agents

KW - Insulin

KW - Male

KW - Parents

KW - Practice Guidelines as Topic

KW - Treatment Outcome

KW - Journal Article

KW - Multicenter Study

KW - Research Support, Non-U.S. Gov't

U2 - 10.1111/j.1399-5448.2009.00596.x

DO - 10.1111/j.1399-5448.2009.00596.x

M3 - Journal article

C2 - 19895567

SN - 1399-543X

VL - 11

SP - 271

EP - 278

JO - Pediatric Diabetes

JF - Pediatric Diabetes

IS - 4

ER -

Target setting in intensive insulin management is associated with metabolic control: the Hvidoere childhood diabetes study group centre differences study 2005

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