Mari Palta1, Tamara LeCaire. 1. University of Wisconsin-Madison Department of Population Health Sciences, 610 Walnut St, Room 689, Madison, WI 53726-2397, USA. mpalta@wisc.edu
Abstract
CONTEXT: The Wisconsin Diabetes Registry Study is a Wisconsin cohort of patients with type 1 diabetes, who were diagnosed in 1987-1992 and actively followed. The study provides patients and health care professionals with better prognostic information and helps identify aspects of diabetes management that need improvement. OBJECTIVE: To describe diabetes management and acute and chronic complications from the time of diagnosis. DESIGN AND SETTING: All incident cases diagnosed at age <30 in 28 counties were eligible and 590 enrolled. A baseline interview, blood sample kits, biannual/annual questionnaires and study examinations at 4, 7, 9, 14, and 20 years duration were administered. MAIN OUTCOME MEASURES: Diabetes management indicators, general health, and acute and chronic complications. RESULTS: Glycemic control was poor in adolescence, but improved with age. A high percentage of individuals do not meet treatment standards for blood pressure and lipid profile. Self-reported health deteriorated with age, and body mass index was similar to that of the general US population. Chronic complications were present at 15-20 years, but tended to be relatively mild. CONCLUSION: There is room for improvement in diabetes management, especially in meeting goals for blood pressure and lipid profile. Nonetheless, individuals with type 1 diabetes can be offered a more optimistic prognosis than in the past.
CONTEXT: The Wisconsin Diabetes Registry Study is a Wisconsin cohort of patients with type 1 diabetes, who were diagnosed in 1987-1992 and actively followed. The study provides patients and health care professionals with better prognostic information and helps identify aspects of diabetes management that need improvement. OBJECTIVE: To describe diabetes management and acute and chronic complications from the time of diagnosis. DESIGN AND SETTING: All incident cases diagnosed at age <30 in 28 counties were eligible and 590 enrolled. A baseline interview, blood sample kits, biannual/annual questionnaires and study examinations at 4, 7, 9, 14, and 20 years duration were administered. MAIN OUTCOME MEASURES: Diabetes management indicators, general health, and acute and chronic complications. RESULTS: Glycemic control was poor in adolescence, but improved with age. A high percentage of individuals do not meet treatment standards for blood pressure and lipid profile. Self-reported health deteriorated with age, and body mass index was similar to that of the general US population. Chronic complications were present at 15-20 years, but tended to be relatively mild. CONCLUSION: There is room for improvement in diabetes management, especially in meeting goals for blood pressure and lipid profile. Nonetheless, individuals with type 1 diabetes can be offered a more optimistic prognosis than in the past.
Authors: K Zorena; J Myśliwska; M Myśliwiec; K Rybarczyk-Kapturska; E Malinowska; P Wiśniewski; K Raczyńska Journal: J Hum Hypertens Date: 2010-02-18 Impact factor: 3.012
Authors: Eleanor J Hothersall; Shona J Livingstone; Helen C Looker; S Faisal Ahmed; Steve Cleland; Graham P Leese; Robert S Lindsay; John McKnight; Donald Pearson; Sam Philip; Sarah H Wild; Helen M Colhoun Journal: J Bone Miner Res Date: 2014 Impact factor: 6.741
Authors: Tamara J LeCaire; Mari Palta; Ronald Klein; Barbara E K Klein; Karen J Cruickshanks Journal: Diabetes Care Date: 2012-11-27 Impact factor: 19.112