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Home based care improved glycaemic control and was cost effective in children with type 1 diabetes

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Question Is a home based care programme more effective for glycaemic control and more cost effective than conventional hospital based care in children with newly diagnosed type 1 diabetes mellitus?


Randomised, unblinded, controlled trial with 3 years follow up.


An emergency department of a secondary and tertiary care paediatric teaching hospital in Montreal, Quebec, Canada.


63 consecutive children (mean age 10 y, 56% girls) who were newly diagnosed with type 1 diabetes, >2 years of age, living at home and within 1 hour of the hospital, and who had no sibling with type 1 diabetes. Follow up was 100%.


Within 72 hours of diagnosis, children were allocated to either home based care (n=32) or hospital based care (n=31). Children allocated to home based care had insulin treatment and …

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  • Source of funding: National Health Research and Development Program of Canada.

  • For correspondence: Dr G Dougherty, The Montreal Children's Hospital, 2300 Tupper Street, Room A-216, Montreal, Quebec H3H 1P3, Canada. Fax +1 514 934 4424.