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Trends in cardiovascular risk factor management in type 1 diabetes by sex: the Pittsburgh EDC study

Swasey, Krystal (2015) Trends in cardiovascular risk factor management in type 1 diabetes by sex: the Pittsburgh EDC study. Master Essay, University of Pittsburgh.

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Abstract

Background: The Diabetes Control and Complications Trial demonstrated a reduced incidence of microvascular and macrovascular disease with intensive diabetes management among those with type 1 diabetes (T1D). However, to what extent the general T1D population practices intensive management has not been well studied. Our aim was therefore to assess trends in cardiovascular disease risk factors among men and women with T1D. We further evaluated the proportion adhering to the American Diabetes Association’s (ADA) guidelines and recommendations for the prevention of acute and long-term complications of diabetes. Methods: We based our investigation on the Pittsburgh Epidemiology of Diabetes Complications (EDC) study of individuals with childhood-onset T1D (n=658; 325 women, 333 men). At baseline, the mean age was 28 years and the mean diabetes duration was 19 years. Following a clinical exam at study entry, participants have been followed biennially for up to 20 years. We assessed the proportion of EDC participants at each clinical examination adhering to the ADA Recommendations. Participant adherence to intensive insulin therapy and statin use was also assessed. Results: During 20 years of follow-up, adherence to ADA recommendations increased for HbA1c (from 9.6 to 35.2%, P


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Details

Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Swasey, Krystalkks29@pitt.eduKKS29
Contributors:
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairCostacou, TinaCostacouT@edc.pitt.eduCOSTACOUUNSPECIFIED
Committee MemberArena, Vincent C.arena@pitt.eduARENAUNSPECIFIED
Date: December 2015
Date Type: Publication
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Publisher: University of Pittsburgh
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Epidemiology
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Date Deposited: 19 May 2016 15:26
Last Modified: 30 Oct 2018 13:55
URI: http://d-scholarship.pitt.edu/id/eprint/26449

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