The following table outlines the type of care your child should receive. Very young kids won't need everything (such as eye exams), but older kids, especially teens, likely will. Remember, this is only a guideline.
Care or Service How Often Visit with a doctor Every 3-4 months Visit with a dietitian Every 3-4 months Visit with a diabetes educator Every 3-4 months Blood glucose testing Before meals and at bedtime, at a minimum.
The more you test, the better you'll do.
HbA1C test Every 3 months Eye check for retinopathy Yearly in children 12 or older who have had diabetes for at least five years Urine test for microalbuminuria Yearly after five years of diabetes or after puberty Lipid profile
(cholesterol and triglycerides)
Yearly Height and weight measurements Every visit
For More Information
- Standards of Medical Care for Patients With Diabetes Mellitus by the American Diabetes Association.
- Clinical Practice Recommendations (2002) of the American Diabetes Association.
- How to Apply the Experience from the Diabetes Control and Complications Trial to Children and Adolescents? by Stuart J. Brink discusses the importance of good control in children and adolescents and explains the clinical practices of the New England Diabetes and Endocrinology Center.
- Medical Guidelines for the Management of Diabetes Mellitus by the American Association of Clinical Endocrinologists
- Understanding Insulin-Dependent Diabetes, 8th Edition by H. Peter Chase, M.D., 1995, pp. 188-9.
- Management of Diabetes Mellitus: Perspectives of Care Across the Life Span edited by Debra Haire-Joshu, MSEd, MSN, PhD, RN., St. Louis, 1992, pp. 629-30.
- The Joslin Guide to Diabetes by Richard S. Beaser, M.D., with Joan V.C. Hill, R.D., C.D.E., pg. 30.
Updated August 26, 2004
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