Abstract

Childhood diabetes care may be suboptimal in resource-poor countries. A cross-sectional study of youths with diabetes aged ≤19 years attending the three major paediatric centres in Vietnam was performed. Diabetes management was documented by questionnaire. Glycated haemoglobin (HbA1c) was measured with a fingerprick blood sample. Multiple linear regression analysis was used to examine factors associated with glycaemic control. In total, 105 patients participated, comprising 93 with type 1 diabetes and 12 with neonatal diabetes. The median age was 11.5 years [interquartile range (IQR) 6.4–14.5 years] and the median duration of diabetes was 2.6 years (IQR 1.5–6.1 years). Patients with type 1 diabetes performed few blood glucose tests per month (median 8, IQR 4–30). Mean HbA1c was higher in patients with type 1 diabetes compared with neonatal diabetes (9.9% vs. 7.5%; P = 0.01). In type 1 diabetes using multivariate analysis, higher HbA1c was associated with older age (β = 0.3, 95% CI 0.2–0.4; P < 0.001), lower frequency of blood glucose monitoring (β = –0.06, 95% CI –0.10 to 0.12; P = 0.01) and use of pre-mixed insulin (β = −1.7, 95% CI −3.4 to 0.0; P = 0.05). In conclusion, international glycaemic control targets for childhood diabetes (HbA1c <7.5%) are not being achieved in Vietnam, and intensive diabetes management is rare. There is an urgent need to address barriers to achieving optimal control in this population.

You do not currently have access to this article.

Comments

0 Comments