Most Youth With Type 1 Diabetes in the T1D Exchange Clinic Registry Do Not Meet American Diabetes Association or International Society for Pediatric and Adolescent Diabetes Clinical Guidelines

• Autores: Jamie R. Wood, Kellee M. Miller, David M. Maahs, Roy Beck, Linda A DiMeglio, Ingrig Libman, Maryanne Quinn, William V. Tamborlane, Stephanie E. Woerner
• Localización: Diabetes care, ISSN-e 0149-5992, Vol. 36, Nº. 7, 2013, págs. 2035-2037
• Idioma: inglés
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• Resumen

  • To assess the proportion of youth with type 1 diabetes under the care of pediatric endocrinologists in the United States meeting targets for HbA^sub 1c^, blood pressure (BP), BMI, and lipids. Data were evaluated for 13,316 participants in the T1D Exchange clinic registry younger than 20 years old with type 1 diabetes for ≥1 year. American Diabetes Association HbA^sub 1c^ targets of <8.5% for those younger than 6 years, <8.0% for those 6 to younger than 13 years old, and <7.5% for those 13 to younger than 20 years old were met by 64, 43, and 21% of participants, respectively. The majority met targets for BP and lipids, and two-thirds met the BMI goal of <85th percentile. Most children with type 1 diabetes have HbA]c values above target levels. Achieving American Diabetes Association goals remains a significant challenge for the majority of youth in the T1D Exchange registry.