Lower A1c among adolescents with lower perceived A1c goal: a cross-sectional survey
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BACKGROUND: The International Society for Pediatric and Adolescent Diabetes (ISPAD) and the American Diabetes Association (ADA) have established a hemoglobin A1c (A1c) target of less than 7.5% for adolescents with type 1 diabetes (T1D). However, many adolescents are unaware of their A1c target, and little data exist on how knowledge of this A1c target affects the actual A1c they achieve. We sought to evaluate the relationship between awareness of the A1c target and the actual A1c achieved in adolescents with T1D. METHODS: In a cohort of 240 adolescents with T1D age 13-19 years, we measured A1c and administered a questionnaire to assess their knowledge of the ISPAD guideline for A1c target. RESULTS: Of the total cohort, 42 subjects (18%) had an A1c below target and 198 subjects (82%) had an A1c above target. Almost all subjects (98%) reported that they were told their A1c target by a healthcare provider, and most of those (88%) claimed to know their A1c target, but few (8%) were correct. More subjects with actual A1c below 7.5% thought their A1c goal was lower than the ISPAD target, compared to subjects with A1c above target (75% vs. 59%, p = 0.07), although this did not achieve statistical significance. CONCLUSION: In this cohort of adolescents with T1D, there was a trend toward a lower achieved A1c in those with a lower perceived A1c goal. Further studies should focus on identification of factors influencing an adolescent's ability to achieve a lower A1c.
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Setting more aggressive HbA1c targets is associated with achieving lower HbA1c.
“Although setting more aggressive targets is associated with achieving lower HbA1c,97”
From Type 1 diabetes (2018) · cites this paper as [97]
The Conclusions report a general trend in adolescents with type 1 diabetes: a lower perceived A1c goal was associated with a lower achieved A1c. The study measured adolescents’ perceived goals, not the effect of setting more aggressive targets; the comparison reported in Results did not reach statistical significance (p = 0.07). (LLM, conf=0.85)
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- Authors
- Clements, S. A., Anger, M. D., Bishop, F. K., McFann, K. K., Klingensmith, G. J., Maahs, D. M., & Wadwa, R. P.
- Affiliations
- University of Utah (US)
- University of Colorado Anschutz (US)
- Colorado School of Public Health (US)
- Corresponding author
- Clements, Scott A
- Venue
- International Journal of Pediatric Endocrinology
- Published
- 2013-10-24
- Volume
- 2013
- Issue
- 1
- Pages
- 17-17
- ISSN
- 1687-9848 (ISSN-L)
- 1687-9856
- PMC
- PMC4015741
- OpenAlex
- W2124842180
- Cited by
- 19
- References
- 15
- Citations by year
- 2024: 1 · 2022: 2 · 2020: 1 · 2019: 4 · 2018: 3 · 2017: 3 · 2016: 1 · 2015: 1 · 2014: 3
- FWCI
- 1.31
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Pediatric Endocrinology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (UL1TR000154, RR025780, Grant Number UL1 RR025780, TR000154)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK075360, T32DK063687)
- National Center for Research Resources (RR-025780, UL1RR025780)
- 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
- type 1 diabetes, adolescents, HbA1c, glycemic targets, ISPAD guidelines, diabetes self-management
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