Gender differences in diabetes self-care in adults with type 1 diabetes: Findings from the T1D Exchange clinic registry

dc.contributor.authorShah, Viral N.
dc.contributor.authorWu, Mengdi
dc.contributor.authorPolsky, Sarit
dc.contributor.authorSnell-Bergeon, Janet K.
dc.contributor.authorSherr, Jennifer L.
dc.contributor.authorCengiz, Eda
dc.contributor.authorDiMeglio, Linda A.
dc.contributor.authorPop-Busui, Rodica
dc.contributor.authorMizokami-Stout, Kara
dc.contributor.authorFoster, Nicole C.
dc.contributor.authorBeck, Roy W.
dc.contributor.departmentPediatrics, School of Medicineen_US
dc.date.accessioned2018-10-03T19:29:54Z
dc.date.available2018-10-03T19:29:54Z
dc.date.issued2018-10
dc.description.abstractAims To evaluate gender differences in diabetes self-care components including glycemic, blood pressure and lipid control, utilization of diabetes technologies and acute diabetes complications in adults with type 1 diabetes. Methods A total of 9,481 participants >18 years were included in the analysis, 53% were female. Variables of interest included glycemic control measured by HbA1c, systolic/diastolic blood pressures, presence of dyslipidemia, insulin delivery modality, and rates of acute complications. Results Glycemic control was similar in women and men (mean HbA1c in both groups: 8.1% ± 1.6% (64 ± 16 mmol/mol), (p = 0.54). More women used insulin pump therapy (66% vs. 59%, p < 0.001) but use of sensor technology was similar (p < = 0.42). Women had higher rates of diabetic ketoacidosis (DKA) (5% vs. 3%, p < 0.001) and eating disorders (1.7% vs. 0.1%, p < 0.001). Severe hypoglycemia rates were not different between men and women (p = 0.42). Smoking (6% vs 4%, p < 0.001), systolic (125 ± 14.2 vs. 121 ± 14.4, p < 0.001) and diastolic blood pressure (73.3 ± 9.5 vs. 72.2 ± 9.3, p < 0.001) and rate of dyslipidemia (28% vs. 23%, p < 0.001) were higher in men. Conclusion While glycemic control in type 1 diabetes was similar regardless of gender, rates of DKA and eating disorders were higher in women while rates of smoking, hypertension and dyslipidemia were higher in men.en_US
dc.eprint.versionAuthor's manuscripten_US
dc.identifier.citationShah, V. N., Wu, M., Polsky, S., Snell-Bergeon, J. K., Sherr, J. L., Cengiz, E., ... & Beck, R. W. (2018). Gender differences in diabetes self-care in adults with type 1 diabetes: Findings from the T1D Exchange clinic registry. Journal of Diabetes and its Complications, 32(10), 961-965. https://doi.org/10.1016/j.jdiacomp.2018.08.009en_US
dc.identifier.urihttps://hdl.handle.net/1805/17435
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.isversionof10.1016/j.jdiacomp.2018.08.009en_US
dc.relation.journalJournal of Diabetes and its Complicationsen_US
dc.rightsPublisher Policyen_US
dc.sourceAuthoren_US
dc.subjectgenderen_US
dc.subjecttype 1 diabetesen_US
dc.subjectdiabetes self-managementen_US
dc.titleGender differences in diabetes self-care in adults with type 1 diabetes: Findings from the T1D Exchange clinic registryen_US
dc.typeArticleen_US
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