Cited by 1,312Diabetes Management and ResearchDiabetes Management and EducationDiabetes and associated disorders

Care of Children and Adolescents With Type 1 Diabetes

Silverstein, Janet, Klingensmith, Georgeanna, Copeland, Kenneth, Plotnick, Leslie, Kaufman, Francine, Laffel, Lori, Deeb, Larry, Grey, Margaret +3 more·2005·Diabetes Care

Abstract

During recent years, the AmericanDiabetes Association (ADA) haspublished detailed guidelines and recommendations for the management of diabetes in the form of technical reviews, position statements, and consensus state-ments. Recommendations regarding chil-dren and adolescents have generally been included as only a minor portion of these documents. For example, the most recent ADA position statement on “Standards of Medical Care for Patients With Diabetes Mellitus ” (last revised October 2003) in-cluded “special considerations ” for chil-dren and adolescents (1). Other position statements included age-specific recom-mendations for screening for nephropa-thy (2) and retinopathy (3) in children with diabetes. In addition, the ADA has published guidelines pertaining to certain aspects of diabetes that apply exclusively to children and adolescents, including care of children with diabetes at school (4) and camp (5) and a consensus state-ment on type 2 diabetes in children and adolescents (6). The purpose of this document is to provide a single resource on current stan-dards of care pertaining specifically to children and adolescents with type 1 dia-betes. It is not meant to be an exhaustive compendium on all aspects of the man-agement of pediatric diabetes. However, relevant references are provided and cur-rent works in progress are indicated as such. The information provided is based on evidence from published studies whenever possible and, when not, sup-ported by expert opinion or consensus (7). Several excellent detailed guidelines and chapters on type 1 diabetes in pedi-atric endocrinology texts exist, including

Integrity signals

Registry

Crossref · 10.2337/diacare.28.1.186

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241 of 241 references verified0 citation errors · 0 not checkable

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  • The desire to fit in may lead youth to conceal or downplay diabetes care, which can harm management at school.

    “Wishing to “fit in” may contribute to youth hiding or minimizing diabetes care behaviors, thereby compromising management in the school setting (97).”
  • Recommendations for children and adolescents are less likely to be based on clinical trial evidence because of current and historical restraints placed on conducting research in children.

    “Although recommendations for children and adolescents are less likely to be based on clinical trial evidence, because of current and historical restraints placed on conducting research in children, expert opinion and a review of available and relevant experimental data are summarized in the ADA statement on care of children and adolescents with type 1 diabetes (275).”

    From Standards of Medical Care in Diabetes—2009 (2009) · cites this paper as [275]

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Authors
Silverstein, J., Klingensmith, G., Copeland, K., Plotnick, L., Kaufman, F., Laffel, L., Deeb, L., Grey, M., Anderson, B., Holzmeister, L. A., & Clark, N.
Affiliations
  • University of Florida Health (US)
  • Department of Pediatrics, Barbara Davis Center, Denver, Colorado
  • University of Oklahoma Medical Center (US)
  • Johns Hopkins University (US)
  • University of Southern California (US)
  • Joslin Diabetes Center (US)
  • Children’s Clinic, Tallahassee, Florida
  • Yale University (US)
  • Baylor College of Medicine (US)
  • Holzmeister Nutrition Communications, Tempe, Arizona
  • American Diabetes Association (US)
Venue
Diabetes Care
Published
2005-01-01
Volume
28
Issue
1
Pages
186-212
ISSN
  • 0149-5992 (ISSN-L)
  • 1935-5548
OpenAlex
W2127372143
Cited by
1,312
References
241
Citations by year
2026: 13 · 2025: 17 · 2024: 25 · 2023: 24 · 2022: 25 · 2021: 47 · 2020: 38 · 2019: 48 · 2018: 51 · 2017: 64 · 2016: 82 · 2015: 92 · 2014: 100 · 2013: 95 · 2012: 104
FWCI
44.33
Type
journal article
Language
en
Open access
closed
Locations
  • Diabetes Care (publishedVersion)
  • PubMed (publishedVersion)
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
type 1 diabetes, pediatric diabetes, adolescents, children, standard of care, diabetes management, American Diabetes Association guidelines, diabetic nephropathy screening, diabetic retinopathy screening
MeSH terms
Adolescent, Blood Glucose, Child, Child, Preschool, Diabetes Mellitus, Type 1, Humans, Infant, Insulin Infusion Systems, Quality Assurance, Health Care, Self Care, Self Concept, United States

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