Economic status and clinical care in young type 1 diabetes patients: a nationwide multicenter study in Brazil

摘要: The aim of this study is to evaluate the influence economic status on clinical care provided Brazilian youths with type 1 diabetes in daily practice, according American Diabetes Association’s guidelines. This was a cross-sectional, multicenter conducted between 2008 and 2010 28 public clinics Brazil. Data were obtained from 1,692 patients (55.3 % female, 56.4 Caucasian), mean age 13 years (range, 1–18), at diagnosis 7.1 ± 4 duration 5 3.7 years. Overall, 75 low or very status. HbA1c goals reached by 23.2 %, LDL cholesterol 57.9 systolic blood pressure 83.9 diastolic 73.9 patients. In total, 20.2 overweight 9.2 obese. Patients less likely attend tertiary level when compared those low, medium high status, 64.2 versus 75.5 78.3 74.0 %; p < 0.001, respectively. rate annual screening for retinopathy, nephropathy foot alterations 66.2, 69.7 62.7 Insulin dose, age, frequency self-blood glucose monitoring female gender independently associated poor glycemic control. Screening diabetic complications attaining glucose, lipid present challenge young majority our may represent barrier reaching these goals.