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The Australasian Diabetes Data Network: first national audit of children and adolescents with type 1 diabetes

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The known International diabetes registries report that many young people with type 1 diabetes do not meet recommended targets for glycaemic control. Relevant Australian data have been lacking. 

The new 73% of Australian children and adolescents with type 1 diabetes do not meet the recommended target for glycaemic control. Uptake of intensive insulin therapy varies between diabetes centres. Rates of overweight and obesity were higher than for this age group in the general population. 

The implications Strategies for improving glycaemic control in young people with diabetes are urgently needed to prevent the acute and chronic complications of this disorder. 

Large population-based diabetes registers in several countries have collated data on glycaemic control, management and clinical outcomes for young people with diabetes, facilitating the international benchmarking of paediatric diabetes centres.1 Analysis of these databases has indicated that glycaemic control in many young people with type 1 diabetes is suboptimal; 54–84% do not achieve the internationally established target haemoglobin A1c (HbA1c) level for young people (below 58 mmol/mol).