From Frankfurt, Germany:
The son of my colleague in Belgium just went into the hospital diagnosed with diabetes. He is 2 months old, and the hospital says it is the youngest case they have ever seen. Is there a standard treatment for very young infants in the US? Is there somewhere I can get additional information for him on this? Is there a children's hospital in Europe or the US which specializes in treating diabetes in very young children?
There is no "standard treatment" for diabetes in infants (or at any age): treatment should be individualized to meet needs. The diabetes program in a two-month old needs to take into account that the infant may still be breast-feeding, and eating patterns may vary from day to day.
The diabetes team must include pediatric diabetes specialists (including the doctors, nurses, and dietitians).
In the USA, there are Children's Hospitals that deal regularly with small children and infants with diabetes and have met National Standards: you can find some of them listed at the ADA's website. There are similar specialized centers in Europe. For more information in Europe, contact your local diabetes organization (see Global Diabetes Organizations). If you can't find information locally, you might also contact the British Diabetes Association: they have materials, including booklets and videos about diabetes in the very young.
If your friend is comfortable with the child's present diabetes team, try not to interfere! It can be extremely confusing to newly-diagnosed families to have extraneous advice, when they are having trouble coping (which is always the case!).
Original posting 4 Aug 97
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