Changes in type 1 diabetes health indicators from high school to college.
- Resource Type
- Article
- Authors
- Monaghan, Maureen, ; King, Megan McCormick; Alvarez, Vanessa; Cogen, Fran R.; Wang, Jichuan
- Source
- Journal of American College Health; Feb/Mar2016, Vol. 64 Issue 2, p157-161, 5p, 1 Graph
- Subject
- High schools
Universities & colleges
Demography
Retrospective studies
Evaluation
Type 1 diabetes
Blood sugar
People with diabetes
Endocrinology
Glycosylated hemoglobin
Patient aftercare
Pediatrics
Race
Glycemic control
Body mass index
Treatment effectiveness
Descriptive statistics
Diagnosis
Diabetes risk factors
United States
- Language
- ISSN
- 07448481
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. [ABSTRACT FROM AUTHOR]