{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T22:34:33Z","timestamp":1767652473531,"version":"3.37.3"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,11,5]],"date-time":"2022-11-05T00:00:00Z","timestamp":1667606400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,11,5]],"date-time":"2022-11-05T00:00:00Z","timestamp":1667606400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Endocrine"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Aims<\/jats:title>\n                <jats:p>People with type 1 diabetes mellitus (T1DM) are at risk of life-threatening illness. Medical jewellery is recommended for emergencies, but its uptake is unknown. This study assessed the use of medical jewellery among people with T1DM aged 0\u201324 years in Australia.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A cross sectional analysis of subscription data to the largest medical identification jewellery service in Australia was analysed by age, sex and geographic location using Australian population data from 2018.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>There were 1599 people with T1DM aged 0\u201324 in the database, but only 1061 had an active subscription, corresponding to an active subscription rate of 13.28\/100,000 population or ~5% of the estimated patient population. Half of the active subscribers were male (543\/1061, 51\/3%). The average age of active subscribers was 17; very few (<jats:italic>n<\/jats:italic>\u2009=\u200912, 1.1%) were aged less than 5; and the highest number (<jats:italic>n<\/jats:italic>\u2009=\u2009141, 39%) was in the 20\u201324 age group. Active subscription rates varied significantly by geographic location. 88.4% of active subscribers had a diagnosis of T1DM or equivalent inscribed on their emblem, while engraved instructions for management in an emergency were only included in 1.8% of records (<jats:italic>n<\/jats:italic>\u2009=\u200919).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Medical jewellery subscription rates were lower than expected; increased with age; and varied significantly by state\/territory. The use of medical identification jewellery may be limited by the lack of suitable engraved instructions for use in an emergency. Factors leading to low use should be addressed.<\/jats:p>\n                \n              <\/jats:sec>","DOI":"10.1007\/s12020-022-03224-3","type":"journal-article","created":{"date-parts":[[2022,11,5]],"date-time":"2022-11-05T13:02:47Z","timestamp":1667653367000},"page":"72-79","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["An analysis of the utilisation of medical identification jewellery among children and young adults with type 1 diabetes mellitus in Australia"],"prefix":"10.1007","volume":"79","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5195-3600","authenticated-orcid":false,"given":"Madeleine","family":"Heath","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David J.","family":"Torpy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosemary Louise","family":"Rushworth","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,11,5]]},"reference":[{"key":"3224_CR1","doi-asserted-by":"publisher","first-page":"S67","DOI":"10.2337\/dc13-S067","volume":"36","author":"American Diabetes, A.","year":"2013","unstructured":"American Diabetes, A., Diagnosis and classification of diabetes mellitus. 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