title: Long-term glycemic control as a result of initial education for children with new onset type 1 diabetes: does the setting matter?
abstract: The purpose of this study was to examine the role of initial diabetes education delivery at an academic medical center (AMC) versus non-AMCs on long-term glycemic control.
  
  
  
  We performed a retrospective study of children with type 1 diabetes referred to an AMC after being educated at non-AMCs. These children were matched to a group of children diagnosed and educated as inpatients at an AMC. The A1C levels at 2, 3, and 5 years from diagnosis were compared between the 2 groups of children.
  
  
  
  Records were identified from 138 children. Glycemic control was comparable in the non-AMC-educated versus AMC-educated patients at 2, 3, and 5 years from diagnosis. The A1C was also highly consistent in each patient over time.
  
  
  
  Long-term glycemic control was independent of whether initial education was delivered at an AMC or non-AMC. Formal education and location at time of diagnosis do not appear to play a significant role in long-term glycemic control. Novel educational constructs, focusing on developmental stages of childhood and reeducation over time, are likely more important than education at time of diagnosis.
authors: Medical College of Wisconsin, Milwaukee, Wisconsin (Dr Cabrera)
authors: Susanne M
authors: SM
authors: Cabrera
authors: Riley Hospital for Children, Indianapolis, Indiana (Dr Srivastava, Dr DiMeglio, Dr Walvoord)
authors: Nayan T
authors: NT
authors: Srivastava
authors: Indiana University School of Medicine, Indianapolis, Indiana (Dr Behzadi)
authors: Jennifer M
authors: JM
authors: Behzadi
authors: Indiana University Health, Indianapolis, Indiana (Ms Pottorff)
authors: Tina M
authors: TM
authors: Pottorff
authors: Riley Hospital for Children, Indianapolis, Indiana (Dr Srivastava, Dr DiMeglio, Dr Walvoord)
authors: Linda A
authors: LA
authors: Dimeglio
authors: Riley Hospital for Children, Indianapolis, Indiana (Dr Srivastava, Dr DiMeglio, Dr Walvoord)
authors: Emily C
authors: EC
authors: Walvoord
mesh_terms: D000223:Adaptation, Psychological; D001786:Blood Glucose / Q000378:metabolism*; D002648:Child; D002662:Child Health Services; D002675:Child, Preschool; D003142:Communication; D003922:Diabetes Mellitus, Type 1 / Q000097:blood* / Q000188:drug therapy / Q000453:epidemiology; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007196:Indiana / Q000453:epidemiology; D007223:Infant; D008297:Male; D010353:Patient Education as Topic; D011368:Professional-Family Relations; D012189:Retrospective Studies; D012648:Self Care; D016896:Treatment Outcome
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human