ArticleJournal of diabetes science and technology2014
Average Daily Risk Range (ADRR) in Young Children With Type 1 Diabetes.
Article in Journal of diabetes science and technology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- The Evolving Landscape of Continuous Glucose Monitoring Metrics in Type 1 Diabetes: Narrative Literature Review.JMIR diabetes · 2026Review
- Distinct Patterns of Daily Glucose Variability by Pubertal Status in Youth With Type 1 Diabetes.Diabetes care · 2020Article
- Hemoglobin A1c Has Suboptimal Performance to Diagnose and Monitor Diabetes Mellitus in Patients with Cirrhosis.Digestive diseases and sciences · 2018Article
- Adherence to Insulin Pump Behaviors in Young Children With Type 1 Diabetes Mellitus.Journal of diabetes science and technology · 2017Article
- Factors Associated with Recruitment and Retention in Randomized Controlled Trials of Behavioral Interventions for Patients with Pediatric Type 1 Diabetes.Journal of clinical psychology in medical settings · 2016Article
- Evaluation of the Average Daily Risk Range as a Measure of Glycemic Variability in Youths with Type 1 Diabetes.Diabetes technology & therapeutics · 2015Article
- Measures of Risk and Glucose Variability in Adults Versus Youths.Diabetes technology & therapeutics · 2015Article
- Protective Factors in Young Children With Type 1 Diabetes.Journal of pediatric psychology · 2015Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveThe objective was to examine the utility of the average daily risk range (ADRR) in young children with type 1 diabetes.
methodsSelf-monitored blood glucose (BG) data and A1c values were collected from 134 children (ages 2-6). Other measures of BG variability and diabetes care were calculated using self-monitored BG data. ADRR, A1c, and other glycemic indices were compared to assess their distinctiveness and utility as measures of BG variability and glycemic control.
resultsOf young children's ADRR values, 72% were in the "high-risk" range using adult guidelines. ADRR and A1c were highly correlated with indicators of hyperglycemia but only weakly correlated with measures of hypoglycemia. ADRR was moderately correlated with minimum BG value in the past 30 days but not percentage of BG values below 70 mg/dL. A1c was not correlated with either measure of hypoglycemia.
conclusionsADRR values confirm the high degree of BG variability present in young children with type 1 diabetes, particularly as compared with adults. New ADRR risk guidelines are needed for pediatric patients. ADRR and A1c are adequate indicators of hyperglycemia in young children. However, both ADRR and A1c failed to effectively capture hypoglycemia risk in this sample, and neither ADRR nor A1c can take the place of review of raw BG data to evaluate BG variability in young children.
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