Children's Hospital Los Angeles, Los Angeles, California, USA.
Diabetes Care. 2013 Jul;36(7):2035-7. doi: 10.2337/dc12-1959. Epub 2013 Jan 22.
To assess the proportion of youth with type 1 diabetes under the care of pediatric endocrinologists in the United States meeting targets for HbA1c, 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 HbA1c 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 HbA1c values above target levels. Achieving American Diabetes Association goals remains a significant challenge for the majority of youth in the T1D Exchange registry.
评估美国接受儿科内分泌学家治疗的 1 型糖尿病青年患者达到糖化血红蛋白（HbA1c）、血压（BP）、体重指数（BMI）和血脂目标的比例。
对 T1D 交换诊所登记处的 13316 名年龄小于 20 岁、1 型糖尿病病程≥1 年的患者进行了数据分析。
HbA1c 目标值分别为<8.5%（年龄小于 6 岁）、<8.0%（年龄 6 岁至小于 13 岁）和<7.5%（年龄 13 岁至小于 20 岁），分别有 64%、43%和 21%的患者达到。大多数患者达到了 BP 和血脂目标值，三分之二的患者达到了 BMI<85 百分位的目标。
大多数 1 型糖尿病儿童的 HbA1c 值高于目标水平。对于 T1D 交换登记处的大多数年轻人来说，实现美国糖尿病协会的目标仍然是一个重大挑战。
