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Comparative Study
. 2016;64(2):157-61.
doi: 10.1080/07448481.2015.1068780.

Changes in type 1 diabetes health indicators from high school to college

Maureen Monaghan  1   2 , Megan McCormick King  1 , Vanessa Alvarez  1 , Fran R Cogen  1   2 , Jichuan Wang  1   3
Affiliations
Comparative Study

Changes in type 1 diabetes health indicators from high school to college

Maureen Monaghan et al. J Am Coll Health. 2016.

Abstract

Objective: Evaluate trajectories of type 1 diabetes health indicators from high school through the first year of college.

Participants: Seventy-four students with type 1 diabetes who maintained pediatric endocrinology care during the first year of college.

Methods: Hemoglobin A1c (HbA1c), blood glucose monitoring frequency, body mass index (BMI), and clinic attendance data were collected via retrospective medical chart review in spring 2012. Group-based trajectory models evaluated diabetes-related health indicators over time and identified distinct growth trajectory groups.

Results: BMI increased and clinic attendance decreased in the first year of college. Trajectories for other health indicators were heterogeneous and stable over time; 69% of students were classified as having stable good glycemic control. Racial minority youth and youth on conventional insulin regimens were disproportionally represented in higher-risk groups.

Conclusions: Diabetes health indicators are stable or decline upon college entrance. Results signal the need for targeted support for college students with type 1 diabetes.

Keywords: Adherence; clinical medicine; diabetes; young adults.

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Figures

Figure 1
Figure 1
Group-based Trajectory Models for T1DM Health Indicators
See this image and copyright information in PMC

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