Optimum Blood Sugar Level for Kids With Type 1
Targeted levels are made lower, but young patients need individualized care, ADA guideline says
"This is not to say we are no longer concerned about hypoglycemia, but we now have better tools to monitor for hypoglycemia," she added.
While the new 7.5 percent target is based on evidence from respected studies, "we want to emphasize that blood glucose and A1C targets must be individualized to safely achieve the best outcomes," Chiang added.
Experts agreed with that stance.
"Considering the risk of hypoglycemia in the young children, the management should be personalized," said Dr. Siham Accacha, director of the pediatric diabetes program at Winthrop-University Hospital in Mineola, N.Y. "More than any other condition, treating children with diabetes requires special consideration," he said.
He and Rapaport agreed that the advent of better medications and medical technologies mean that hypoglycemia is somewhat less of a risk than it was in the past. Those advances include sophisticated insulin pumps and "glucose sensors that have the ability to more quickly recognize high, as well as low, glucose levels," Rapaport explained.
Coupled with educating young patients about the risks of hypoglycemia, these advances "may help diminish the incidence of severe hypoglycemia and, at the same time, allow children and adolescents to reach their target goal with less difficulty," Accacha said.
"Type 1 diabetes requires intensive insulin management that differs from how type 2 is managed," statement co-author Dr. Anne Peters, a professor at Keck Medicine at the University of Southern California, said in the ADA news release.
"People with type 1 require more supplies and must monitor their blood glucose levels more often. This is not a one-size-fits-all disease, and it's important that we recognize that," she added.