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Behavioral intervention improved glycemic control across income levels in youths with type 1 diabetes

August 3, 2015

Individualized problem-solving skills aimed at improving diabetes management helped children with type 1 diabetes across income levels improve their HbA1c levels over 2 years, according to research in American Journal of Preventive Medicine.

Tonja Nansel , PhD, of the NIH Eunice Kennedy Shriver National Institute of Child Health and Human Development and colleagues analyzed data from 390 families with children aged 9 to 15 years with type 1 diabetes (49% girls; mean age, 12 years; mean HbA1c, 8.4%; pump use, 34%) at four U.S. pediatric endocrinology clinics over 2 years (data collected between 2006 and 2011). Researchers randomly assigned families to a behavioral intervention (n = 182) or usual care (n = 167), stratified by age, HbA1c and income level. The intervention group participated in the WE-CAN diabetes management program; trained nonprofessionals helped families identify a specific diabetes management problem and work to develop a behavioral plan targeting that issue. Blood samples were taken at each visit to measure HbA1c levels.

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