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TUESDAY, Jan. 29, 2019 (HealthDay News) — Only one in five children and adults with type 1 diabetes (T1D) in the United States achieve American Diabetes Association (ADA) goals for glycated hemoglobin (HbA1c), according to a study published online Jan. 18 in Diabetes Technology & Therapeutics<\/i>.<\/p>\n
Nicole C. Foster, from the Jaeb Center for Health Research in Tampa, Florida, and colleagues compared T1D Exchange registry data for 22,697 participants (aged 1 to 93 years) collected between 2016 and 2018 and data for 25,529 registry participants collected in 2010 to 2012.<\/p>\n
The researchers found that mean HbA1c in 2016 to 2018 increased from 65 mmol\/mol at age 5 years to 78 mmol\/mol between ages 15 and 18 years but decreased to 64 mmol\/mol by age 28 and to 58 to 63 mmol\/mol beyond age 30. Only 17 percent of children achieved the ADA HbA1c goal of <58 mmol\/mol and only 21 percent of adults achieved the ADA HbA1c goal of <53 mmol\/mol. Between 2010-2012 and 2016-2018, mean HbA1c levels changed little, except in adolescents who had a higher mean HbA1c in 2016 to 2018. An increase was noted in insulin pump use from 57 percent during 2010-2012 to 63 percent during 2016-2018. Continuous glucose monitoring (CGM) increased from 7 percent during 2010-2012 to 30 percent during 2016-2018, with more than a 10-fold increase seen in children <12 years old. HbA1c levels were lower in CGM users versus nonusers. Racial differences were seen in both use of pumps and CGM and HbA1c levels.<\/p>\n
“Glycemic control has not improved overall between 2010 to 2012 and 2016 to 2018 and in fact appears to have worsened particularly in adolescents,” the authors write.<\/p>\n