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14. Children and Adolescents: Standards of Care in Diabetes—2025

Open access
American Diabetes Association Professional Practice Committee, ElSayed, Nuha A., McCoy, Rozalina G., Aleppo, Grazia, Balapattabi, Kirthikaa, Beverly, Elizabeth A., Briggs Early, Kathaleen, Bruemmer, Dennis +16 more·2025·Diabetes Care
DOI 10.2337/dc25-s014PMC PMC11635046
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Abstract

The American Diabetes Association (ADA) “Standards of Care in Diabetes” includes the ADA’s current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care. Members of the ADA Professional Practice Committee, an interprofessional expert committee, are responsible for updating the Standards of Care annually, or more frequently as warranted. For a detailed description of ADA standards, statements, and reports, as well as the evidence-grading system for ADA’s clinical practice recommendations and a full list of Professional Practice Committee members, please refer to Introduction and Methodology. Readers who wish to comment on the Standards of Care are invited to do so at professional.diabetes.org/SOC.

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253 of 253 references verified0 citation errors · 0 not checkable

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  • Post-prandial hypoglycemia has been proposed as an identifiable glycemic feature to prompt testing for CD in T1D.

    “Post-prandial hypoglycemia has been proposed as an identifiable glycemic feature to prompt testing for CD in T1D [4], 5].”

    From Continuous glucose monitoring evidence of celiac disease in type 1 diabetes (2025) · cites this paper as [5]

    The Autoimmune Conditions section says increased hypoglycemia can be a clinical indication for celiac disease screening in youth with type 1 diabetes. It does not identify post-prandial hypoglycemia specifically as that indicator; the separate discussion of meal-related hypoglycemia does not link it to celiac disease. No page number was available for these passages. (LLM, conf=0.87)

    Experimental — accuracy not yet measured

  • Pediatric guidelines recommend infrequent CD screening every 2-5 years, with less clear guidance beyond the first 5 years after T1D diagnosis.

    “Pediatric guidelines recommend infrequent CD screening every 2–5 years [4], with less clear guidance beyond the first 5 years after T1D diagnosis [5], which can result in large gaps between screening.”

    From Continuous glucose monitoring evidence of celiac disease in type 1 diabetes (2025) · cites this paper as [5]

  • Current guidelines lack quantitative glycemic measures of subclinical changes that indicate a need for CD testing.

    “Complementary methods to identify patients at highest risk of CD are needed, as current guidelines lack quantitative glycemic measures of subclinical changes that indicate a need for CD testing.”

    From Continuous glucose monitoring evidence of celiac disease in type 1 diabetes (2025) · cites this paper as [5]

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Cites

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5 of the 258 references couldn’t be matched to a known paper.

Research works printed but not linked: 2

  1. [73]73. Jonsdottir B, Larsson C, Carlsson A, et al.; Better Diabetes Diagnosis Study Group. Thyroid and islet autoantibodies predict autoimmune thyroid disease at type 1 diabetes diagnosis. J Clin Endocrinol Metab 2017;102:1277-1285 129.
  2. [146]146. Weghuber D, Kelly AS, Arslanian S. Once- weekly semaglutide in adolescents with obesity. reply. N Engl J Med 2023;388:1146 216.

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Authors
American Diabetes Association Professional Practice Committee, ElSayed, N. A., McCoy, R. G., Aleppo, G., Balapattabi, K., Beverly, E. A., Briggs Early, K., Bruemmer, D., Echouffo-Tcheugui, J. B., Ekhlaspour, L., Garg, R., Khunti, K., Lal, R., Lingvay, I., Matfin, G., Pandya, N., Pekas, E. J., Pilla, S. J., Polsky, S., Segal, A. R., Seley, J. J., Srinivasan, S., Stanton, R. C., & Bannuru, R. R.
ORCID
Venue
Diabetes Care
Publisher
American Diabetes Association
Published
2024-12-09
Volume
48
Issue
Supplement_1
Pages
S283-S305
ISSN
  • 0149-5992 (ISSN-L)
  • 1935-5548
DOI
10.2337/dc25-s014
PMC
PMC11635046
OpenAlex
W4405187511
Cited by
173
References
258
Citations by year
2026: 74 · 2025: 90 · 2024: 6 · 2023: 3
FWCI
9.94
Type
journal article
Language
en
Open access
Licence
www.diabetesjournals.org/journals/pages/license (vor)
Locations
  • Diabetes Care (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Diabetes and Digestive and Kidney Diseases (K23DK121942)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
Keywords
pediatric diabetes, adolescent diabetes, diabetes care standards, clinical guidelines, quality of care, treatment goals, level of evidence
MeSH terms
Adolescent, Child, Diabetes Mellitus, Humans, Standard of Care

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