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Present and future perspectives on children with type 1 diabetes
Author(s) -
Kordonouri O,
Danne T
Publication year - 1999
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.1999.tb14340.x
Subject(s) - medicine , diabetology , dieticians , diabetes mellitus , type 1 diabetes , intensive care medicine , pediatrics , transplantation , type 2 diabetes , quality of life (healthcare) , family medicine , surgery , endocrinology , nursing
This review presents current achievements in paediatric diabetology and discusses potential new approaches. Recent multinational investigations have demonstrated that in spite of multidisciplin‐ary diabetes care only one‐third of young patients with diabetes have an HbAlc below 8%, which is associated with a lower risk for development of secondary complications. Since there is no standard protocol for the optimal treatment of diabetes in children and adolescents, the therapy has to be tailored to the individual child's needs, involving not only paediatricians, but also dieticians, diabetes educators, psychologists and social workers. To improve the current situation a major goal for the next few years appears to be the establishment of standards for structure, process and outcome quality in paediatric diabetology. Future perspectives include possibilities for a cure via islet‐ or pancreas transplantation or improved pharmacological therapy following the introduction of new types of insulin or other beta cell‐related peptides as adjunctive therapy not currently used. □ Children, diabetes, quality control