Wood, Jamie R.Miller, Kellee M.Maahs, David M.Beck, Roy W.DiMeglio, Linda A.Libman, Ingrid M.Quinn, MaryanneTamborlane, William V.Woerner, Stephanie E.T1D Exchange Clinic Network2025-05-282025-05-282013Wood JR, Miller KM, Maahs DM, et al. Most youth with type 1 diabetes in the T1D Exchange Clinic Registry do not meet American Diabetes Association or International Society for Pediatric and Adolescent Diabetes clinical guidelines. Diabetes Care. 2013;36(7):2035-2037. doi:10.2337/dc12-1959https://hdl.handle.net/1805/48402Objective: To assess the proportion of youth with type 1 diabetes under the care of pediatric endocrinologists in the United States meeting targets for HbA1c, blood pressure (BP), BMI, and lipids. Research design and methods: Data were evaluated for 13,316 participants in the T1D Exchange clinic registry younger than 20 years old with type 1 diabetes for ≥1 year. Results: American Diabetes Association HbA1c targets of <8.5% for those younger than 6 years, <8.0% for those 6 to younger than 13 years old, and <7.5% for those 13 to younger than 20 years old were met by 64, 43, and 21% of participants, respectively. The majority met targets for BP and lipids, and two-thirds met the BMI goal of <85th percentile. Conclusions: Most children with type 1 diabetes have HbA1c values above target levels. Achieving American Diabetes Association goals remains a significant challenge for the majority of youth in the T1D Exchange registry.en-USAttribution-NonCommercial-NoDerivatives 4.0 InternationalBody mass indexType 1 diabetes mellitusGlycated hemoglobinLogistic modelsArticle