Abstract

Background Diabetic complications have been identified as the major cause of morbidity and mortality in persons with type 1 diabetes mellitus. Lack of appropriate glycaemic control is a significant risk factor for the onset and progression of long term complications of diabetes. Identifying the determinants of glycaemic control is therefore imperative. Aim To identify the socio-demographic determinants of glycaemic control among children with type 1 diabetes mellitus in south eastern Nigeria Method It was a cross-sectional hospital-based study of children aged 3–18 years with T1DM. Seventy-one children with type 1 diabetes mellitus were consecutively enrolled after obtaining consent. A questionnaire was completed recording their demographic variables and their HbA1c was estimated. Result There were 71 subjects with type 1 diabetes mellitus enrolled. 38 (52.5%) of them were males. Mean age (years) was 13.7±0.3. Mean age at onset of diabetes was 11.6 years (range 3–16), mean duration of diabetes was 2.3 years (range 0.4–8 years), mean HbA1c value was 10.5% (range 6.4%–14%), Age, age at onset of diabetes, duration of diabetes and caregivers involvement in diabetes management were strong determinants of glycaemic control (p Conclusion Younger age, young age at onset of diabetes, and short duration of diabetes and caregivers involvement in diabetes management were strong indicators for better glycaemic control.

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