Continuing Stability of Center Differences in Pediatric Diabetes Care: Do Advances in Diabetes Treatment Improve Outcome? The Hvidoere Study Group on Childhood Diabetes
Response to Chalew
- The Hvidoere Study Group on Childhood Diabetes*
- Address correspondence to Dr. Carine de Beaufort, Clinique Pédiatrique, Centre Hospitalier de Luxembourg, 4, rue Barblé, 1220 Luxembourg, Luxembourg. E-mail: debeaufort.carine{at}chl.lu
We appreciate Dr. Chalew's comments in his letter (1) regarding our recent study (2). Modification of the levels of staffing may have contributed to improved metabolic outcome in two of the Hvidoere study centers that achieved reductions in mean clinic A1C levels in contrast to the lack of improvement seen in other centers without staffing changes. Most would agree that comprehensive, structured (intensive) education is a key factor in metabolic outcome; and therefore, it would not be surprising that a sufficient number of trained experienced staff …
