Care of diabetes in children and adolescents: controversies, changes, and consensus
Abstract
Diabetes is one of the most common chronic medical disorders in children. The management of diabetes remains a substantial burden on children with diabetes and their families, despite improvements in treatment and rates of morbidity and mortality. Although most children with diabetes have type 1 diabetes, the increasing recognition of type 2 diabetes and genetic forms of diabetes in the paediatric population has important treatment implications. Diabetes therapy focuses strongly on targets for good metabolic control to reduce the risk of long-term complications. A parallel goal is to minimise short-term complications of hypoglycaemia and diabetic ketoacidosis. Technology offers opportunity for improvement in care, but has not yet fully lived up to its potential. New insights into the pathogenesis of diabetes and the development of new therapies have led to clinical trials aimed at the prevention of diabetes.
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Hypoglycaemic events are associated with adverse effects on cognitive function.
“Hypoglycaemic events are associated with adverse effects on cognitive function,108,109”
From Type 1 diabetes (2018) · cites this paper as [108]
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DiMeglio, L. A., Evans-Molina, C., & Oram, R. A. (2018) · The Lancet · doi:10.1016/s0140-6736(18)31320-5 · Cited by 1,561 · see citing works
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Evaluation of flash glucose monitoring after long-term use: a pediatric survey
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- Authors
- Cameron, F. J., & Wherrett, D. K.
- Affiliations
- Royal Children's Hospital (AU)
- University of Toronto (CA)
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 2015-05
- Volume
- 385
- Issue
- 9982
- Pages
- 2096-2106
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- OpenAlex
- W2143546709
- Cited by
- 99
- References
- 112
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 3 · 2023: 3 · 2022: 9 · 2021: 8 · 2020: 9 · 2019: 15 · 2018: 11 · 2017: 13 · 2016: 16 · 2015: 4
- FWCI
- 2.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Lancet (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Health and Medical Research Council
- Eli Lilly and Company
- Novo Nordisk
- Roche
- Sanofi Australia
- National Institutes of Health
- Juvenile Diabetes Research Foundation International
- Medtronic
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Diabetes and associated disorders
- Keywords
- pediatric diabetes, type 1 diabetes, type 2 diabetes, diabetes management, metabolic control, hypoglycemia, diabetic ketoacidosis, diabetes complications, diabetes technology, diabetes prevention, clinical trials
- MeSH terms
- Adolescent, Child, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Glycated Hemoglobin, Humans, Hypoglycemic Agents, Life Expectancy, Technology, Pharmaceutical, Incidence, Prevalence, Consensus
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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