Quality of care and clinical characteristics of adults with type 1 diabetes in Italy: insights from the 2025 Association of Medical Diabetologists (AMD) Annals initiative
Authors' conclusion
Adults with T1D are increasingly older and frequently affected by obesity. Although overall quality of care is satisfactory, substantial gaps remain in cardiovascular risk-factor control and technology adoption.
Study context
- Population
- Adults with T1D attending 343 Italian diabetes clinics in 2025 (AMD Annals); mean age 49.3 ± 17.1 years, 19.4% aged >65 years
- Participants
- 51,013 adults
- Outcome
- Quality-of-care indicators
- Follow-up
- 2025
Methodological detailsmulticentre, nationwide, electronic medical records
- Multicentre
- Nationwide
- Electronic medical records
Main finding
As reported in the abstract
- HbA1c ≤7.0%
- 37.2%
- HbA1c ≤7.0%, LDL-C <70 mg/dL and blood pressure <130/80 mmHg simultaneously
- 4.3%
- Obesity
- 14.7%
- Diabetic retinopathy
- 29.5%
- Albuminuria
- 20.8%
- eGFR <60 mL/min/1.73 m²
- 11.3%
- Continuous subcutaneous insulin infusion (CSII) use
- 21.3%
- Q-score <15
- 3.1%
Observational data: associations, not effects.
Further findings
- CSII associated with better glycaemic control, more favourable glucometric indices and lower prevalence of chronic complications than MDI
Original publication
Quality of care and clinical characteristics of adults with type 1 diabetes in Italy: insights from the 2025 AMD Annals initiative. Diabetes Res Clin Pract. Published 16 July 2026. doi:10.
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