Most youth with type 1 diabetes don't meet HbA1c goals

February 8, 2013
Most youth with type 1 diabetes don't meet HbA1c goals
Most children with type 1 diabetes have hemoglobin A1c values above target levels, according to a study published online Jan. 22 in Diabetes Care.

(HealthDay)—Most children with type 1 diabetes (T1D) have hemoglobin A1c (HbA1c) values above target levels, according to a study published online Jan. 22 in Diabetes Care.

Jamie R. Wood, M.D., from the Children's Hospital Los Angeles, and colleagues assessed the proportion of youth meeting targets for HbA1c, blood pressure, and (BMI) using data from 13,316 participants in the T1D Exchange Clinic Registry younger than 20 years old with type 1 diabetes for at least one year.

The researchers found that 64, 43, and 21 percent of participants met the HbA1c targets of <8.5 percent for those younger than 6 years, <8.0 percent for those age 6 to younger than 13 years old, and <7.5 percent for those age 13 to younger than 20 years old, respectively. Most participants met the blood pressure and lipid targets, and two-thirds met the goal of <85th percentile for BMI.

"Despite advances in technologies and strategies for care, achieving HbA1c targets remains a significant challenge for the majority of youth in the T1D Exchange registry. Moreover, a large number of youth with diabetes already have additional vascular disease risk factors at a young age," the authors write. "This analysis suggests further transformations to improve pediatric are needed to prevent future complications of diabetes."

One author disclosed receiving consultant payments from Medtronic.

Explore further: HbA1c less than 6.5 percent is specific, not sensitive for T1DM

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

White matter structural changes ID'd in children with T1DM

September 17, 2012

(HealthDay)—Children with type 1 diabetes have significant structural differences in the white matter of their brain compared to healthy children, which correlates with hemoglobin A1c (HbA1c) values, according to a study ...

Sleep apnea severity linked to glycated hemoglobin levels

June 18, 2012

(HealthDay) -- For adults without diabetes, obstructive sleep apnea (OSA) severity is independently associated with impaired glucose metabolism, as measured by glycated hemoglobin (HbA1c) levels, according to a study published ...

Fasting plasma glucose beats HbA1c for diabetes screening

January 17, 2013

(HealthDay)—For patients without diabetes undergoing coronary angiography (CAG), fasting plasma glucose (FPG) performs better in diabetes screening than glycated hemoglobin (HbA1c), according to a study published online ...

Meds adherence self-report valid in type 2 diabetes

December 20, 2012

(HealthDay)—Self-reported measures of medication adherence in adults with type 2 diabetes are valid, although some self-reports are moderated by depression, according to a study published online Nov. 30 in Diabetes Care.

Recommended for you

Low-carb diet may aid your metabolism

December 2, 2016

(HealthDay)—Eating low-carbohydrate meals may lead to healthy changes in a woman's metabolism that don't occur when consuming higher-carbohydrate meals, a small study suggests.

Research shows nerve growth protein controls blood sugar

November 14, 2016

Research led by a Johns Hopkins University biologist demonstrates the workings of a biochemical pathway that helps control glucose in the bloodstream, a development that could potentially lead to treatments for diabetes.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.