‘A Bad Result’: A1c Targets Missed in Most With Type 1 Diabetes

BARCELONA — Worldwide, only a small proportion of adults with type 1 diabetes are achieving optimal glucose control, new research indicates.

Findings from the multinational, observational Study of Adults’ Glycemia in TID (SAGE) were presented September 17 here at the European Association for the Study of Diabetes (EASD) 2019 Annual Meeting.

Overall data were presented by Eric M. Renard, MD, PhD, Medical School of the University of Montpellier and Lapeyronie University Hospital, Montpellier, France. Region-specific data were presented by Jochen Seufert, MD, PhD, University Hospital of Freiburg and University of Freiburg, Germany.

The study included nearly 4000 adults aged 26 years and older with type 1 diabetes from 17 countries in Western Europe, Eastern Europe, Latin America, Asia, and the Middle East. (North America and Africa weren’t included.)

Overall, only a quarter to a fifth of patients were achieving A1c levels < 7% (< 53 mmol/mol) or individualized targets set by their clinician. Better control was achieved in Western Europe compared with other regions, and the least amount of patients met A1c goals in the Middle East.

“Unfortunately, it is a bad result for most people…There is really a need for education because what we see is that technology is not improving results so much,” Renard told Medscape Medical News in an interview.

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