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The study, a cross-sectional analysis, involved 221 T1DM patients below 18\u00a0years old who visited our clinic between 2011 and 2020, predating the COVID-19 outbreak. Out of the initial pool, 204 participants were chosen based on specific criteria. By computing odds ratios and 95% confidence intervals, we determined the correlation between these factors and achieving optimal glycemic control (HbA1c\u2009&lt;\u20097.5%). Of the 204 individuals, 55.9% (113 patients) were female. The average age at diagnosis was 6.93\u2009\u00b1\u20093.9 years. Mean HbA1c (A1C) level of optimal and suboptimal groups were 6.97, 95% CI 6.84 to 7.1 and 8.86, 95% CI 8.68 to 9.03, respectively (p-value\u2009&lt;\u20090.001). Fifty patients had optimal glycemic control and 154 people experienced suboptimal glycemic control during the follow-up that the prevalence of each of them was 24.51, 95% CI 18.7 to 31 and 75.49, 95% CI 68.99 to 81.22, respectively. In the assessment of risk factors associated with suboptimal glycemic control, patients aged 10\u201314\u00a0years had the highest likelihood of experiencing suboptimal glycemic control (crude odds ratio [COR] 3.12, 95% CI 1.04 to 9.3), followed by duration of diabetes (COR 2.85, 95% CI 1.2 to 6.8), which both were significant. By utilizing multivariable logistic regression analysis, a noteworthy finding emerged. It was revealed that patients aged 10\u201314\u00a0years exhibited a significant association with suboptimal glycemic control, [adjusted odds ratio (AOR) 4.85, 95% CI 1.32 to 17.7]. Additionally, a statistically significant correlation was identified between individuals with a body mass index (BMI) falling within the\u2009\u2265\u200995th percentile category and suboptimal glycemic control, Cramer\u2019s V\u2009=\u20090.21, p-value\u2009=\u20090.01. Our research has revealed a significant correlation between patients aged 10\u201314\u00a0years and obese individuals (BMI\u2009\u2265\u200995th) with suboptimal glycemic control. It is crucial to consider these factors as they can offer valuable insights during diagnosis, highlighting the increased risk of long-term suboptimal glycemic control.<\/jats:p>","DOI":"10.1038\/s41598-024-57205-9","type":"journal-article","created":{"date-parts":[[2024,3,29]],"date-time":"2024-03-29T11:01:54Z","timestamp":1711710114000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Risk factors for suboptimal glycemic control in pediatrics with type 1 diabetes mellitus: a cross-sectional study"],"prefix":"10.1038","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9240-494X","authenticated-orcid":false,"given":"Mobin","family":"Ghazaiean","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7788-5471","authenticated-orcid":false,"given":"Behnam","family":"Najafi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1005-0557","authenticated-orcid":false,"given":"Daniel","family":"Zamanfar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-4293-9812","authenticated-orcid":false,"given":"Mohammad Javad","family":"Alipour","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,3,29]]},"reference":[{"issue":"Suppl 1","key":"57205_CR1","first-page":"S124","volume":"42","author":"Diabetes Care","year":"2019","unstructured":"Diabetes Care. 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