Special situations in children and adolescents with type 1 diabetes mellitus
- Lynne L Levitsky, MD
Lynne L Levitsky, MD
- Associate Professor of Pediatrics
- Harvard Medical School
- Madhusmita Misra, MD, MPH
Madhusmita Misra, MD, MPH
- Fritz Bradley Talbot and Nathan Bill Talbot Professor of Pediatrics
- Harvard Medical School
Type 1 diabetes mellitus, one of the most common chronic diseases in childhood, is caused by insulin deficiency resulting from the destruction of insulin-producing pancreatic beta cells. (See "Pathogenesis of type 1 diabetes mellitus".)
In children and adolescents with type 1 diabetes, there are circumstances, such as acute illnesses, when glucose metabolism is significantly altered, requiring additional monitoring of blood glucose and ketones and/or adjustment of the child's daily insulin dose. The school or daycare setting also presents challenges in the management of the insulin-dependent child.
Managing the child or adolescent with type 1 diabetes in settings with altered insulin requirements and at school or daycare is reviewed here. Other aspects of type 1 diabetes mellitus in children and adolescents are discussed in separate topic reviews:To continue reading this article, you must log in with your personal, hospital, or group practice subscription. For more information on subscription options, click below on the option that best describes you:
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