Care of Children and Adolescents With Type 1 Diabetes
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
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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).”
From Psychosocial care for people with diabetes: a position statement of the American Diabetes Association (2016) · cites this paper as [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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Standards of medical care in diabetes—2014
American Diabetes Association (2014) · Diabetes Care · doi:10.2337/dc14-s014 · Cited by 4,572 · see citing works
Standards of medical care in diabetes—2013
American Diabetes Association (2013) · Diabetes Care · doi:10.2337/dc13-s011 · Cited by 4,369 · see citing works
Standards of medical care in diabetes 2010
American Diabetes Association (2010) · Diabetes Care · doi:10.2337/dc10-s011 · Cited by 3,470 · see citing works
Standards of medical care in diabetes—2011
American Diabetes Association (2011) · Diabetes Care · doi:10.2337/dc11-s011 · Cited by 2,880 · see citing works
Standards of Medical Care in Diabetes—2009
American Diabetes Association (2009) · Diabetes Care · doi:10.2337/dc09-s013 · Cited by 2,167 · see citing works
Seaquist, E. R., Anderson, J., Childs, B., Cryer, P., Dagogo-Jack, S., Fish, L., Heller, S. R., Rodriguez, H., Rosenzweig, J., & Vigersky, R. (2013) · Diabetes Care · doi:10.2337/dc12-2480 · Cited by 1,389 · see citing works
Standards of Medical Care in Diabetes—2008
American Diabetes Association (2008) · Diabetes Care · doi:10.2337/dc08-s012 · Cited by 1,377 · see citing works
Epidemiology of type 1 diabetes
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Association between adherence and glycemic control in pediatric type 1 diabetes: a meta-analysis
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Interventions With Adherence-Promoting Components in Pediatric Type 1 Diabetes
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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
- Publisher
- American Diabetes Association
- 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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