Racial disparity in A1C independent of mean blood glucose in children with type 1 diabetes.
cross_sectional · Level IV
Where this comes from
- Record sourced from PubMed, PMID 20185743.
- Also identified by DOI 10.2337/dc09-1440 and PMC identifier 2858167.
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Abstract
Mean blood glucose (MBG) and MBG-independent factors both influence A1C levels. Race was related to A1C independent of MBG in adults. The goal of this study was to determine if racial disparity exists in A1C independent of MBG in children with diabetes. Participants included 276 children with type 1 diabetes. A1C and MBG were obtained from multiple clinic visits, and a hemoglobin glycation index (HGI) (an assessment of A1C levels independent of MBG) was calculated. A1C and HGI were analyzed controlling for age, diabetes duration, and MBG. RESULTS African Americans had statistically significantly higher A1C (9.1 +/- 0.1) and HGI (0.64 +/- 0.11) than Caucasians (A1C 8.3 +/- 0.1, HGI -0.15 +/- 0.07) independent of covariates. Because of racial disparity in A1C, which is independent of MBG, we recommend that A1C and MBG be used together to make therapeutic decisions for children with diabetes.
Medical subject headings
- Black or African American
- Diabetes Mellitus, Type 1
- Glycated Hemoglobin
- White People