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ADA Recommends Stricter HbA1c Targets for Kids with Type 1 Diabetes — Physician’s First Watch

Medical News |
June 17, 2014

ADA Recommends Stricter HbA1c Targets for Kids with Type 1 Diabetes

By Kelly Young

Edited by David G. Fairchild, MD, MPH, and André Sofair, MD, MPH

In a position statement, the American Diabetes Association now says that all children with type 1 diabetes should strive for a hemoglobin A1c target of less than 7.5%. Previously, different pediatric age groups had different targets, and targets could be as high as 8.5%.

The change was made as more evidence was published regarding the potential harms from prolonged hyperglycemia in children.

The ADA emphasizes that treatment should still be individualized based on patient age, diabetes duration, comorbid conditions, and other factors to achieve the best glycemic control while also reducing the risks for severe hyperglycemia and hypoglycemia.

The article, published in Diabetes Care, covers other aspects of diabetes management as well.

Reader Comments (1)

paul helman Physician, north shore university health systems

This again disregrds the equally vital question of lipid homeostasi and focuses on just half of insulin's regulatory function.

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