Lower A1C Targets for Type 1 Kids
The American Diabetes Association has a new recommendation for diabetes control in kids with type 1 diabetes: Children age 18 and younger should aim for an A1C (a measure of average blood glucose control over the previous two to three months) of less than 7.5 percent. Higher targets had been advised for younger kids because of low blood glucose concerns, but innovations such as insulin pumps, sensors, and better insulins allow for tighter control with less risk of severe lows. What’s more, newer research suggests that severe hypoglycemia can happen even with higher A1C levels, and there may be long-term risks, particularly for brain development, if kids’ blood glucose runs high for long periods. Of course, each child’s individual A1C target should be customized as well, the ADA says.
Source: American Diabetes Association's 74th annual Scientific Sessions, June 2014