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Electronic and paper medical records were reviewed using a dataset adapted from the UK National Institute for Health and Care Excellence 2015 guidelines.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Among the 111 people with T1D (mean age 41\u2009\u00b1\u200913\u00a0years, 55% men, mean body mass index 27.1\u2009\u00b1\u20095.6\u00a0kg\/m<jats:sup>2<\/jats:sup>), mean HbA1c was 8.1\u2009\u00b1\u20091.9% (66\u2009\u00b1\u200919\u00a0mmol\/mol) (lower than the Australian National Diabetes Audit: 8.5%\/69\u00a0mmol\/mol) with 25.5% meeting the guideline target of\u2009&lt;\u200953\u00a0mmol\/mol (7.0%). Most people had seen a diabetes educator (80.2%) or dietitian (73.0%) and had complication screening. Complication rates were high (nephropathy 20.4%, retinopathy 27.4%, peripheral neuropathy 30.1%, ischaemic heart disease\/acute infarction 10.5%). Overall, 27% of referrals occurred following an acute inpatient admission or emergency department presentation and 13% for management of diabetes in pregnancy.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>A high proportion of people with T1D accessed public specialist care either during pregnancy or after a largely avoidable acute glycaemia-related hospital presentation. Subsequent care was in line with national specialist standards. This area has a \u201cwait for acute event\u201d rather than \u201ccomplication prevention\u201d model of care, associated with under-referral to the local multidisciplinary specialist service. Understanding how widespread this model of care is, and ways to reduce its prevalence, are urgently required.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12902-022-01057-9","type":"journal-article","created":{"date-parts":[[2022,5,31]],"date-time":"2022-05-31T15:05:18Z","timestamp":1654009518000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Type 1 diabetes management and hospitalisation in the over 25\u2019s at an Australian outer urban diabetes clinic"],"prefix":"10.1186","volume":"22","author":[{"given":"Shivani","family":"Patel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Celine","family":"Farkash","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0560-0761","authenticated-orcid":false,"given":"David","family":"Simmons","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,5,31]]},"reference":[{"issue":"Supplement 1","key":"1057_CR1","first-page":"S37","volume":"43","author":"Comprehensive Medical Evaluation and Assessment of Comorbidities","year":"2020","unstructured":"Comprehensive Medical Evaluation and Assessment of Comorbidities. 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As a retrospective quality improvement audit, a waiver of individual patient consent was approved by the SWSLHD HREC, and this study was conducted in accordance with the Declaration of Helsinki.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors have no competing interests to declare.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"143"}}