The Stricter the Better? The Relationship between Targeted HbA1c Values and Metabolic Control of Pediatric Type 1 Diabetes Mellitus
Joint Authors
Młynarski, Wojciech
Fendler, Wojciech
Szadkowska, Agnieszka
Braun, Marcin
Tomasik, Bartlomiej
Wrona, Ewa
Jarosz-Chobot, Przemyslawa
Zmysłowska, Agnieszka
Wilson, Jayne
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-01-05
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Introduction.
It remains unclear how H b A 1 c recommendations influence metabolic control of paediatric patients with type 1 diabetes mellitus.
To evaluate this we compared reported H b A 1 c with guideline thresholds.
Materials and Methods.
We searched systematically MEDLINE and EMBASE for studies reporting on H b A 1 c in children with T1DM and grouped them according to targeted H b A 1 c obtained from regional guidelines.
We assessed the discrepancies in the metabolic control between these groups by comparing mean H b A 1 c extracted from each study and the differences between actual and targeted H b A 1 c .
Results.
We included 105 from 1365 searched studies.
The median (IQR) H b A 1 c for the study population was 8.30% (8.00%–8.70%) and was lower in “6.5%” than in “7.5%” as targeted H b A 1 c level (8.20% (7.85%–8.57%) versus 8.40% (8.20%–8.80%); p = 0.028 ).
Median difference between actual and targeted H b A 1 c was 1.20% (0.80%–1.70%) and was higher in “6.5%” than in “7.5%” (1.70% (1.30%–2.07%) versus 0.90% (0.70%–1.30%), resp.; p < 0.001 ).
Conclusions.
Our study indicates that the 7.5% threshold results in H b A 1 c levels being closer to the therapeutic goal, but the actual values are still higher than those observed in the “6.5%” group.
A meta-analysis of raw data from national registries or a prospective study comparing both approaches is warranted as the next step to examine this subject further.
American Psychological Association (APA)
Braun, Marcin& Tomasik, Bartlomiej& Wrona, Ewa& Fendler, Wojciech& Jarosz-Chobot, Przemyslawa& Szadkowska, Agnieszka…[et al.]. 2016. The Stricter the Better? The Relationship between Targeted HbA1c Values and Metabolic Control of Pediatric Type 1 Diabetes Mellitus. Journal of Diabetes Research،Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1108160
Modern Language Association (MLA)
Braun, Marcin…[et al.]. The Stricter the Better? The Relationship between Targeted HbA1c Values and Metabolic Control of Pediatric Type 1 Diabetes Mellitus. Journal of Diabetes Research No. 2016 (2016), pp.1-7.
https://search.emarefa.net/detail/BIM-1108160
American Medical Association (AMA)
Braun, Marcin& Tomasik, Bartlomiej& Wrona, Ewa& Fendler, Wojciech& Jarosz-Chobot, Przemyslawa& Szadkowska, Agnieszka…[et al.]. The Stricter the Better? The Relationship between Targeted HbA1c Values and Metabolic Control of Pediatric Type 1 Diabetes Mellitus. Journal of Diabetes Research. 2016. Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1108160
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1108160