ISPAD Guidelines 2018 -Chapter 8: Glycemic control targets and glucose monitoring for children


Chapter 8: Glycemic control targets and glucose monitoring for children, adolescents, and young adults with diabetes
Linda A. DiMeglio, Carlo L. Acerini, Ethel Codner, Maria E. Craig, Sabine E. Hofer, Kubendran Pillay and David M. Maahs

Chapter Highlights: 

This chapter sets a target hemoglobin A1c (HbA1c) of <53 mmol/mol (<7.0%) for children, adolescents, and young adults with diabetes who have access to comprehensive care. Although this is an optimal target, the chapter also emphasizes that it Is critical that both blood glucose and overall glycemic targets be individualized, based on factors including: whether the child can articulate hypoglycemia; whether the child has a history of hypoglycemia unawareness/severe hypoglycemia, whether the child has sufficient access to analog insulins, advanced insulin delivery technologies, regular blood glucose monitoring, and/or continuous glucose monitoring.  The chapter also emphasizes the need for access to supplies needed for regular blood glucose monitoring and provides guidelines for glucose targets by time of day.



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