Variation in type 1 diabetes care of children and young people

Background: For children with type 1 diabetes (T1D), achieving optimal glycaemic control is vital in reducing the risk of vascular complications. Despite national guidelines, many children fail to achieve target glycaemic goals. The thesis aimed to explore how HbA1c, an important indicator of diabetes control, is distributed within and between clinics and also investigate the role of several aspects of diabetes services. Methods: Variation in children’s HbA1c levels was analysed cross-sectionally and longitudinally via multilevel linear regression models using audit data from 41,860 children