ISPAD Clinical Practice Consensus Guidelines 2018: Glycemic control targets and glucose monitoring for children, adolescents, and young adults with diabetes

L. Dimeglio,C. Acerini,E. Codner,M. Craig,S. Hofer,K. Pillay,D. Maahs

Published 2018 in Pediatric Diabetes

ABSTRACT

HbA1c reflects mean BG over the prior three to four months and is currently the only long-term glycemic control measure with robust outcome data. Multiple studies in diverse populations have shown that elevated HbA1c values are associated with chronic complications of diabetes. Intensive management resulting in lower HbA1c concentrations is associated with fewer and delayed development of microvascular and macrovascular chronic complications 1-5 , see Chapter 18 (ref). Additionally, lower HbA1c shortly after diagnosis is associated with a lower risk of subsequent complications 6,7 . This article is protected by copyright. All rights reserved.

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