Assessment and monitoring of glycemic control in children and adolescents with diabetes
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The complete set of guidelines can be found for free download at www.ispad.org.The evidence grading system used in the ISPAD Guidelines is the same as that used by the American Diabetes Association.See page 3 (the Introduction in Pediatric Diabetes 2014; 15 (Suppl.20): 1-3).
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Most individuals with type 1 diabetes do not achieve these HbA1c targets.
“however, most individuals do not achieve these targets.”
From Type 1 diabetes (2018) · cites this paper as [95]
The Health care priorities section says consistently achieving HbA1c below the target range may be very difficult, and the Rewers et al. section says adolescents are the farthest from achieving HbA1c <7.5%. These passages support difficulty meeting targets, but they do not establish that most individuals with type 1 diabetes fail to meet them; the paper focuses on children and adolescents. Page numbers are unavailable in our copy. (LLM, conf=0.78)
Experimental — accuracy not yet measuredThree diabetes organizations advise an HbA1c goal below 53 mmol/mol (7.0%) for adults and below 58 mmol/mol (7.5%) for children with type 1 diabetes.
“Guidelines from the American Diabetes Association, International Society for Pediatric and Adolescent Diabetes, and Candian Diabetes Association suggest a HbA1c target of less than 53 mmol/mol (7·0%) for adults and less than 58 mmol/mol (7·5%) in paediatric patients with type 1 diabetes;94–96”
From Type 1 diabetes (2018) · cites this paper as [95]
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DiMeglio, L. A., Evans-Molina, C., & Oram, R. A. (2018) · The Lancet · doi:10.1016/s0140-6736(18)31320-5 · Cited by 1,561 · see citing works
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- Authors
- Rewers, M. J., Pillay, K., de Beaufort, C., Craig, M. E., Hanas, R., Acerini, C. L., & Maahs, D. M.
- Affiliations
- University of Colorado Denver (US)
- Westville Hospital; Durban South Africa
- DECCP; Clinique Pediatrique/CHL; Luxembourg Luxembourg
- Westmead Hospital (AU)
- Department of Pediatrics; Uddevalla Hospital; Uddevalla Sweden
- University of Cambridge (GB)
- Corresponding author
- Rewers, Marian J
- Venue
- Pediatric Diabetes
- Publisher
- Wiley
- Published
- 2014-09
- Volume
- 15
- Issue
- S20
- Pages
- 102-114
- ISSN
- 1399-543X (ISSN-L)
- OpenAlex
- W2405703114
- Cited by
- 316
- References
- 126
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 8 · 2023: 12 · 2022: 16 · 2021: 20 · 2020: 29 · 2019: 29 · 2018: 64 · 2017: 41 · 2016: 46 · 2015: 28 · 2014: 11 · 2013: 5 · 2012: 1
- FWCI
- 33.80
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Pediatric Diabetes (publishedVersion)
- PubMed (publishedVersion)
- Open Repository and Bibliography (University of Luxembourg) (submittedVersion, cc-by-nc-sa)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Diabetes and associated disorders
- Keywords
- glycemic control, blood glucose monitoring, pediatric diabetes, adolescents with diabetes, HbA1c, ISPAD guidelines
- MeSH terms
- Adolescent, Adolescent Medicine, Child, Child, Preschool, Combined Modality Therapy, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Glycated Hemoglobin, Humans, Hyperglycemia, Hypoglycemia, Infant, International Agencies, Ketone Bodies, Pediatrics, Societies, Scientific, Blood Glucose Self-Monitoring, Monitoring, Ambulatory, Fructosamine, Evidence-Based Medicine, Diabetes Complications, Health Records, Personal, Precision Medicine
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