Table 1. Diabetes therapy and outcome in type-1-diabetes patients aged ≤20 years, depending on maternal country of birth.
Maternal country of birth | ||||||||
---|---|---|---|---|---|---|---|---|
Germany/Austria (reference) | Turkey | P-value | Southern Europe | P-value | Eastern Europe | P-value | ||
N | 25,107 | 736 | 517 | 1,283 | ||||
Diabetes therapy | ||||||||
Insulin pumps, % | 37.9 | 26.8 | <0.001 | 27.9 | <0.001 | 32.6 | <0.001 | |
Injection time-points, per day | 6.48±0.01 | 5.87±0.08 | <0.001 | 5.97±0.09 | <0.001 | 6.28±0.06 | 0.002 | |
(n = 24,770) | (n = 730) | (n = 514) | (n = 1,276) | |||||
Insulin dosage, IU/kg*d | 1.037±0.002 | 1.054±0.012 | ns | 1.033±0.014 | ns | 1.057±0.009 | 0.035 | |
(n = 24,770) | (n = 730) | (n = 514) | (n = 1,276) | |||||
SMBG, per day | 5.88±0.01 | 5.72±0.08 | ns | 5.57±0.10 | 0.002 | 5.81±0.06 | ns | |
(n = 23,473) | (n = 717) | (n = 498) | (n = 1,244) | |||||
Acute diabetes complications | ||||||||
Severe hypoglycemia, per 100 pat.years | 16.13±0.02 | 15.51±0.14 | <0.001 | 14.83±0.16 | <0.001 | 22.09±0.13 | <0.001 | |
DKA, per 100 pat.years | 6.54±0.02 | 7.50±0.10 | <0.001 | 7.13±0.11 | <0.001 | 6.20±0.07 | <0.001 | |
Chronic diabetes complications | ||||||||
Hypertension, % | 28.3 | 32.0 | 0.030 | 26.5 | ns | 32.0 | 0.005 | |
(n = 24,358) | (n = 729) | (n = 509) | (n = 1,252) | |||||
Dyslipidemia, % | 39.9 | 44.1 | ns | 33.7 | 0.016 | 41.2 | ns | |
(n = 19,380) | (n = 560) | (n = 384) | (n = 1,019) | |||||
Microalbuminuria, % | 12.0 | 14.1 | ns | 11.9 | ns | 11.3 | ns | |
(n = 18,243) | (n = 558) | (n = 370) | (n = 999) | |||||
Patient care | ||||||||
Hospitalization, per 100 pat.years | 48.5±0.4 | 57.2±2.7 | <0.001 | 46.7±2.9 | ns | 52.0±1.9 | ns | |
Duration of hospital stay, days per 100 pat.years | 441±1 | 433±7 | ns | 355±8 | <0.001 | 427±5 | 0.019 | |
Outpatient visits, per 100 pat.years | 388±1 | 416±7 | <0.001 | 392±9 | ns | 396±6 | ns | |
(n = 22,124) | (n = 685) | (n = 471) | (n = 1,161) |
Based on multivariable regression, adjusted estimates (±SE) were calculated. Adjustments were made for age, sex, duration of diabetes. P-values are given for the comparison between people of native mothers (Germany/Austria) and offspring of mothers born in Turkey, Southern Europe or Eastern Europe. Abbreviations: DKA diabetic ketoacidosis, ns not significant, pat.years patient-years, SMBG self-monitoring of blood glucose.