FOR THE T1D EXCHANGE CLINIC

OBJECTIVEdTo assess the proportion of youth with type 1 diabetes under the care of pedi-atric endocrinologists in the United States meeting targets for HbA1c, blood pressure (BP), BMI, and lipids. RESEARCHDESIGNANDMETHODSdData were evaluated for 13,316 participants in the T1D Exchange clinic registry younger than 20 years old with type 1 diabetes for $1 year. RESULTSdAmerican 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. CONCLUSIONSdMost 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. Diabetes Care 36:2035–2037, 2013 The Diabetes Control and Complica-tions Trial and Epidemiology ofDiabetes Interventions and Compli-cations study have demonstrated in ado-lescents and adults that intensive diabetes management significantly re-duces the risk of vascular complications in type 1 diabetes (1,2) and that this benefit is sustained over time (3). In ad-dition to glucose control, hypertension, dyslipidemia, and obesity (4–7) in-crease risk for future vascular disease, and these risk factors can be present in youth with type 1 diabetes. Both the American Diabetes Association (ADA) (8–10) and the International So-ciety for Pediatric and Adolescent Dia-betes (ISPAD) (11) have established targets for HbA1c, blood pressure (BP), lipids, and BMI for youth with type 1 diabetes. The T1D Exchange clinic reg-istry provides an opportunity to assess the frequencies of youth meeting these targets