Findings more pronounced in children with higher mean HbA1c
THURSDAY, Aug. 8, 2019 (HealthDay News) — Children with type 1 diabetes have worse education and health outcomes than their peers, according to a study published online July 15 in Diabetes Care.
Michael Fleming, from University of Glasgow in the United Kingdom, and colleagues linked nine Scotland-wide databases (diabetes register, dispensed prescriptions, maternity records, hospital admissions, death certificates, annual pupil census, school absences/exclusions, school examinations, and unemployment) to identify 766,047 singleton children born in Scotland who attended Scottish schools between 2009 and 2013. Health and education outcomes were compared for children receiving insulin versus their peers.
The researchers found that the 3,330 children (0.47 percent) treated for type 1 diabetes were more likely to be admitted to the hospital (adjusted hazard ratio [aHR], 3.97), die (aHR, 3.84), be absent from school (adjusted incidence rate ratio [aIRR], 1.34), and have learning difficulties (adjusted odds ratio [aOR], 1.19). There was an association seen between higher mean glycated hemoglobin (HbA1c) among children with type 1 diabetes and greater absenteeism (aIRR, 1.75), increased school exclusion (aIRR, 2.82), poorer attainment (aOR, 3.52), and higher risk of unemployment (aOR, 2.01), particularly for children with HbA1c in the highest quintile.
“Interventions are required to minimize school absence and ensure that it does not affect educational attainment,” the authors write.
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