{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T20:43:13Z","timestamp":1758055393845,"version":"3.44.0"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,2,24]],"date-time":"2025-02-24T00:00:00Z","timestamp":1740355200000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Australia currently lacks a standardised paediatric diabetes care model. This study explores the model of care and outcomes of paediatric Type 1 diabetes mellitus (T1D) at a rural multidisciplinary paediatric diabetes clinic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective cross\u2010sectional study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A single centre quantitative study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>A rural multidisciplinary paediatric diabetes clinic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Patients under 19\u2009years old with a T1D diagnosis who attended the paediatric diabetes clinic for at least 12\u2009months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>Baseline demographics, glycosylated haemoglobin (HbA1c) levels, time in range, clinic appointment adherence, and diabetes\u2010related hospitalisations over a 12\u2010month period from October 2021 to September 2022.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010two patients, with a median age of 13.5 (IQR 7) years and 58% females, were included. Of the patients, 40% lived more than 50\u2009km away from the diabetes clinic, 73% were on continuous subcutaneous insulin infusion, and 92% used continuous glucose monitoring. The median HbA1c was 8.3% (67\u2009mmol\/mol), with four patients (8%) achieving the international target HbA1c level of less than 7.0% (53\u2009mmol\/mol). The CGM users' average time in range was 54%. A total of 29 patients (56%) attended all annual clinic reviews. Six patients (12%) were hospitalised for diabetes\u2010related complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Paediatric T1D managed in a rural multidisciplinary paediatric diabetes clinic, with experienced local clinicians and support from a tertiary centre, can attain outcomes in glycaemic control, clinic attendance, and diabetes\u2010related hospitalisation comparable to those of large Australian metropolitan clinics. However, glycaemic outcomes remain suboptimal when compared to international standards.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajr.70013","type":"journal-article","created":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T00:40:32Z","timestamp":1740530432000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Management of Type I Diabetes Mellitus at a Rural Paediatric Diabetes Clinic"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4243-3202","authenticated-orcid":false,"given":"Kuangjun","family":"Li","sequence":"first","affiliation":[{"name":"Department of Paediatrics Dubbo Base Hospital  Dubbo New South Wales Australia"},{"name":"The Children's Hospital at Westmead  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann M.","family":"Maguire","sequence":"additional","affiliation":[{"name":"The Children's Hospital at Westmead  Sydney New South Wales Australia"},{"name":"The University of Sydney School of Medicine  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacqueline","family":"Askwith","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Dubbo Base Hospital  Dubbo New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,2,24]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc22-S014"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psyneuen.2016.04.019"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arcped.2019.11.002"},{"volume-title":"National Evidence\u2010Based Clinical Care Guidelines for Type 1 Diabetes in Children, Adolescents and Adults","year":"2011","author":"Craig M.","key":"e_1_2_13_5_1"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjdrc-2019-001141"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-5448.2009.00594.x"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2002.tb04754.x"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/pedi.12550"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.12499"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjdrc-2016-000300"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1399-5448.2003.t01-1-00020.x"},{"key":"e_1_2_13_13_1","unstructured":"NSW Government \u201cNSW Health. 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