White Coat Adherence Seen in Children With Type 1 Diabetes

Increased monitoring only seen in children with type 1 diabetes who have low levels of hemoglobin A1c

THURSDAY, Sept. 15 (HealthDay News) -- For children with type 1 diabetes, those with low levels of hemoglobin A1c (A1C) may be more likely to increase the frequency of blood glucose monitoring (BGM) prior to a scheduled visit to the clinic, according to a study published online Aug. 18 in Diabetes Care.

Kimberly A. Driscoll, Ph.D., from the Florida State University College of Medicine in Tallahassee, and colleagues examined the occurrence of white coat adherence (an improvement in treatment adherence before the clinic appointment) in families with children aged 2 to 11 years who have type 1 diabetes. Data on blood glucose were downloaded from meters of 72 children with type 1 diabetes during four consecutive clinic visits. The BGM patterns during the 28 days prior to each clinic visit were analyzed using generalized estimating equations.

The investigators found that more frequent BGM was correlated with improved glycemic control. Increased frequency of BGM before a clinic visit was only seen in children with low A1C levels.

"Highly motivated families who frequently monitor their child's blood glucose increased the frequency of BGM before the child's clinic visit. The additional monitoring may benefit the child by providing the physician with a wealth of blood glucose information to guide recommendations," the authors write.

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