Glucose Management in Children Living with Type 1 Diabetes: Results from the BETTER Registry
Authors' conclusion
Our results indicate that, despite a wide use of continuous glucose monitoring, the occurrence of hypoglycemia is still high and the proportion of children and adolescents reaching the HbA1c target is low.
Study context
- Population
- Children and adolescents <14 years with T1D enrolled in the BETTER registry, Canada (parent-reported, April 2019–October 2024); mean age 8.8 ± 3.1 years, diabetes duration 2.3 ± 2.7 years, 44.9% female, 85.0% European ancestry
- Participants
- 699 children
- Outcome
- T1D management (parent-reported)
Methodological detailsregistry-based, self-reported data
- Registry-based
- Self-reported data
Main finding
As reported in the abstract
- CGM use
- More than 80%
- Insulin pump use
- 38.3%
- Most recent HbA1c ≤7%
- 15.9%
- ≥1 episode of level 2 hypoglycaemia (<3.0 mmol/L, able to self-treat) in last month
- 72.5%
- Level 2 hypoglycaemia episodes in last month, median (IQR)
- 5 (2, 10)
- Level 3 hypoglycaemia in last 12 months
- 8.6%
- Level 3 hypoglycaemia episodes among those affected, median (IQR)
- 1 (1, 3)
Observational data: associations, not effects.
Original publication
Glucose Management in Children Living with Type 1 Diabetes: Results from the BETTER Registry. Horm Res Paediatr. Published 2 September 2026. doi:10.
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