Objective: To study glycemic control, mortality and long-term complications in children with type 1 diabetes (T1D). Design: Cross-sectional study. Setting: Referral centre at a government teaching hospital. Participants: Patients with T1D with age ≤18 years at onset. Methods: We retrospectively collected demographic data from computer records from 1991 to 2015. Prospective study for outcomes was conducted between 2012 and 2016.
Main outcome measures: Mortality rate, glycosylated hemoglobin (HbA1c), and microvascular complication rate. Results: The proportion of T1D patients (n=512) <5 years of age at onset was 18.6% between 1995 and 2004, and 24.2% in 2005-2014 (P<0.001). Twenty eight patients had died out of 334 whose living status was known (mortality 1.1 per 100 patientyears over 2549 patient-years follow up). Median (range) HbA1c (n=257) was 8.3% (5.1-15.0%). At least one episode…