Sabahat Amir, Jan Muhammad Afridi, Arshia Munir, Fazlur Rahim.
Glycosylated Hemoglobin and Glycemic Control of Children with Type 1 Diabetes Mellitus Presenting To a Diabetic Clinic.
J Med Sci Jan ;26(2):91-4.

Objective: To describe the association of frequency of visits and glycosylated hemoglobin on glycemic control of children attending pediatric diabetic clinic of a tertiary care hospital. Material and Methods: A retrospective longitudinal cohort study of 43 patients with type 1 diabetes followed at the pediatric diabetic clinic of Khyber Teaching Hospital,Peshawar, Pakistan from january 2015 to december 2017. Results: The number of patient enrolled were 43 (24 males and 19 females) with age range of 06 months to 15 years. The initial mean HbA1c of the patients was 10.25±2.7 SD and the final was a mean of 9.5±2.5 SD. 18 patients had improved glycemic control. The patients with regular follow up visits were 35 times more likely to have better glycemic control (OR 1.07) as compared to the ones with worsened glycemic control and irregular visits. The patients with HbA1c testing 3 times were 51 times more likely to have a better glycemic control(OR=1.4,CI=2.2-3.2) as compared to worsened glycemic control. Conclusion: Regular follow up visits and HbA1c testing were associated with better glycemic control.

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