Glycemic control in youth with diabetes: the SEARCH for Diabetes in Youth Study
Open accessAbstract
Objective To assess correlates of glycemic control in a diverse population of children and youth with diabetes.Study design This was a cross-sectional analysis of data from a 6-center US study of diabetes in youth, including 3947 individuals with type 1 diabetes (T1D) and 552 with type 2 diabetes (T2D), using hemoglobin A(1c) (HbA(1c)) levels to assess glycemic control.Results HbA(1c) levels reflecting poor glycemic control (HbA(1c) >or= 9.5%) were found in 17% of youth with T1D and in 27% of those with T2D. African-American, American Indian, Hispanic, and Asian/Pacific Islander youth with T1D were significantly more likely to have higher HbA(1c) levels compared with non-Hispanic white youth (with respective rates for poor glycemic control of 36%, 52%, 27%, and 26% vs 12%). Similarly poor control in these 4 racial/ethnic groups was found in youth with T2D. Longer duration of diabetes was significantly associated with poorer glycemic control in youth with T1D and T2D.Conclusions The high percentage of US youth with HbA(1c) levels above the target value and with poor glycemic control indicates an urgent need for effective treatment strategies to improve metabolic status in youth with diabetes.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Post-DCCT studies show mean A1c levels remained higher than current glycemic goals; the Hvidore study reported a mean A1c of 8.6% in over 2,000 youth with type 1 diabetes worldwide.
“More recently, studies published post-DCCT have shown that mean levels of A1c have remained higher than current glycemic goals with the Hvidore study reporting a mean A1c of 8.6% in over 2,000 youth with T1D worldwide87.”
From Epidemiology of type 1 diabetes (2010) · cites this paper as [87]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
The citation lists haven’t been fetched yet
References 41 · Cited by 397
- Authors
- Petitti, D. B., Klingensmith, G. J., Bell, R. A., Andrews, J. S., Dabelea, D., Imperatore, G., Marcovina, S., Pihoker, C., Standiford, D., Waitzfelder, B., & Mayer-Davis, E.
- Affiliations
- Arizona State University (US)
- University of Colorado Denver (US)
- Wake Forest University Health Sciences (US)
- Colorado School of Public Health (US)
- Centers for Disease Control and Prevention (US)
- University of Washington (US)
- Seattle Children's Hospital (US)
- Cincinnati Children's Hospital Medical Center (US)
- Pacific Health Research and Education Institute (US)
- Corresponding author
- Bell, Ronny A.
- ORCID
- Venue
- The Journal of Pediatrics
- Publisher
- Elsevier BV
- Published
- 2009-11
- Volume
- 155
- Issue
- 5
- Pages
- 668-672.e3
- ISSN
- 0022-3476 (ISSN-L)
- PMC
- PMC4689142
- OpenAlex
- W2142009487
- Cited by
- 397
- References
- 41
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 13 · 2023: 18 · 2022: 28 · 2021: 23 · 2020: 26 · 2019: 26 · 2018: 37 · 2017: 26 · 2016: 26 · 2015: 34 · 2014: 36 · 2013: 22 · 2012: 29
- FWCI
- 15.97
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The Journal of Pediatrics (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Centers for Disease Control and Prevention (00097, DP-05-069)
- National Institute of Diabetes and Digestive and Kidney Diseases
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Diabetes and associated disorders
- Keywords
- glycemic control, youth with diabetes, type 1 diabetes, type 2 diabetes, HbA1c, racial and ethnic disparities, diabetes duration, SEARCH for Diabetes in Youth
- MeSH terms
- Adolescent, Analysis of Variance, Blood Glucose, Child, Cross-Sectional Studies, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Ethnicity, Female, Follow-Up Studies, Glycated Hemoglobin, Humans, Hypoglycemic Agents, Male, Probability, Registries, Severity of Illness Index, United States, Body Mass Index, Incidence, Multivariate Analysis, Linear Models, Risk Assessment, Diabetes Complications, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
