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A network of pediatric diabetes centers was created on a voluntary basis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Overall, 20 centers provided data on 3284 patients aged\u2009&lt;\u2009\u2009=\u200918\u00a0years. HbA1c was monitored\u2009\u2265\u20092\/year in 81.2% of the cases. BMI was monitored\u2009\u2265\u20091\/year in 99.0%, lipid profile in 45.3%, and blood pressure in 91.7%. Pubertal status, albuminuria, eye examination, and screening of celiac disease and thyroiditis were underreported. From 2017 to 2021, average HbA1c levels decreased from 7.8\u2009\u00b1\u20091.2 to 7.6\u2009\u00b1\u20091.3%, while patients with LDL cholesterol\u2009&gt;\u2009100\u00a0mg\/dl increased from 18.9 to 36.7%. Prevalence of patients with elevated blood pressure and BMI\/SDS values also increased. In 2021, 44.7% of patients were treated with the newest basal insulins, while use of regular human insulin had dropped to 7.7%. Use of insulin pump remained stable (37.9%).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>This report documents the feasibility of the ISPED CARD initiative and shows lights and shadows in the care provided. Improving care, increasing number of centers, and ameliorating data recording represent future challenges.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00592-023-02233-6","type":"journal-article","created":{"date-parts":[[2024,2,8]],"date-time":"2024-02-08T17:02:19Z","timestamp":1707411739000},"page":"599-607","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Continuous improvement of quality of care in pediatric diabetes: the ISPED CARD clinical registry"],"prefix":"10.1007","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5939-6850","authenticated-orcid":false,"given":"Antonio","family":"Nicolucci","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giusi","family":"Graziano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fortunato","family":"Lombardo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivana","family":"Rabbone","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Chiara","family":"Rossi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giacomo","family":"Vespasiani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefano","family":"Zucchini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riccardo","family":"Bonfanti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"The ISPED CARD Study Group","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G. 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Giusi Graziano has nothing to disclose. Fortunato Lombardo has received consultancy fees from Movi. Ivana Rabbone has received honoraria for participating in the speaker bureau and consulting fees as a member of Eli Lilly, Menarini, Medtronic, Theras, Novo Nordisk and Sanofi advisory boards. Giacomo Vespasiani is medical consultant of Meteda. Stefano Zucchini has served on advisory board panels for Sanofi and Movi. Riccardo Bonfanti has served on advisory board panels for Sanofi, Novonordisk, Lilly, Medtronic, Abbott, Movi and has received speaker\u2019s fees by Novonordisk, Sanofi, Lilly, Movi, Medtronic, Theras and financial support for research by Movi and Lilly.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008. The study protocol was approved by the Ethics Committees of the participating centers. Due to the study design and the anonymous by design database, based on Italian regulations, the signature of patient informed consent was not requested.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"All named authors meet the International Committee of Medical Journal Editors (ICMJE) criteria for authorship for this article, take responsibility for the integrity of the work as a whole and have given their approval for this version to be published.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publications"}}]}}