Glycemic Control Risk Factors ID'd in Youth With Diabetes

Poor glycemic control tied to daily media viewing, diabetes duration, socioeconomic status

FRIDAY, Sept. 23 (HealthDay News) -- Duration of diabetes, socioeconomic status, extensive daily media viewing, but not physical activity are significant risk factors of poor glycemic control in children, adolescents, and young adults with type 1 diabetes, according to a study published online Sept. 16 in Diabetes Care.

Angela Galler, M.D., from the Charité-Universitätsmedizin Berlin, and colleagues investigated the correlation between media consumption habits, physical activity, socioeconomic status, and glycemic control in 296 youths (age, less than 22 years; average age, 13.7 years) with type 1 diabetes. Clinical data and hemoglobin A1c (HbA1c) levels were collected, and risk factors analyzed by multiple regression. Participants had average HbA1c levels of 8.7 and an average diabetes duration of 6.1 years.

The investigators found that those with type 1 diabetes spent an average 2.9 hours daily using computers and watching television and an average 5.1 hours weekly on physical activity. Diabetes duration, socioeconomic status, and daily media consumption time were identified as significant risk factors for glycemic control on multiple regression analysis.

"Extensive media consumption and many of the risk factors known to date can explain only part of the variance in HbA1c and part of the risk for poor glycemic control. Further studies (e.g., intervention studies) are needed to improve on our understanding of metabolic control," the authors write.

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