de Bock Martin, Agwu Juliana Chizo, Deabreu Matt, Dovc Klemen, Maahs David M, Marcovecchio M Loredana, Mahmud Farid H, Nóvoa-Medina Yeray, Priyambada Leena, Smart Carmel E, DiMeglio Linda A
Department of Paediatrics, University of Otago, Christchurch, New Zealand.
Department of Paediatrics, Te Whatu Ora, Waitaha, New Zealand.
Horm Res Paediatr. 2024;97(6):546-554. doi: 10.1159/000543266. Epub 2024 Dec 19.
The International Society for Pediatric and Adolescent Diabetes (ISPAD) guidelines represent a rich repository that serves as the only comprehensive set of clinical recommendations for children, adolescents, and young adults living with diabetes worldwide. This chapter builds on the 2022 ISPAD guidelines, and updates recommendations on the glycemic targets for children and adolescents living with diabetes. A new target for hemoglobin A1c (HbA1c) of ≤6.5% (48 mmol/mol) is recommended for those who have access to advanced diabetes technologies like continuous glucose monitoring and automated insulin delivery. This target should be encouraged for all children and adolescents living with diabetes when safely achievable. In other settings, the HbA1c target is ≤7.0% (53 mmol/mol). The International Society for Pediatric and Adolescent Diabetes (ISPAD) guidelines represent a rich repository that serves as the only comprehensive set of clinical recommendations for children, adolescents, and young adults living with diabetes worldwide. This chapter builds on the 2022 ISPAD guidelines, and updates recommendations on the glycemic targets for children and adolescents living with diabetes. A new target for hemoglobin A1c (HbA1c) of ≤6.5% (48 mmol/mol) is recommended for those who have access to advanced diabetes technologies like continuous glucose monitoring and automated insulin delivery. This target should be encouraged for all children and adolescents living with diabetes when safely achievable. In other settings, the HbA1c target is ≤7.0% (53 mmol/mol).
国际儿童和青少年糖尿病协会（ISPAD）指南是一个丰富的知识库，是全球范围内针对患有糖尿病的儿童、青少年和青年的唯一一套全面的临床建议。本章以2022年ISPAD指南为基础，更新了对患有糖尿病的儿童和青少年血糖目标的建议。对于能够使用连续血糖监测和自动胰岛素输送等先进糖尿病技术的患者，建议将糖化血红蛋白（HbA1c）的新目标设定为≤6.5%（48 mmol/mol）。在安全可实现的情况下，应鼓励所有患有糖尿病的儿童和青少年设定这一目标。在其他情况下，HbA1c目标为≤7.0%（53 mmol/mol）。国际儿童和青少年糖尿病协会（ISPAD）指南是一个丰富的知识库，是全球范围内针对患有糖尿病的儿童、青少年和青年的唯一一套全面的临床建议。本章以2022年ISPAD指南为基础，更新了对患有糖尿病的儿童和青少年血糖目标的建议。对于能够使用连续血糖监测和自动胰岛素输送等先进糖尿病技术的患者，建议将糖化血红蛋白（HbA1c）的新目标设定为≤6.5%（48 mmol/mol）。在安全可实现的情况下，应鼓励所有患有糖尿病的儿童和青少年设定这一目标。在其他情况下，HbA1c目标为≤7.0%（53 mmol/mol）。
