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Special situations in children and adolescents with type 1 diabetes mellitus

Lynne L Levitsky, MD
Madhusmita Misra, MD, MPH
Section Editor
Joseph I Wolfsdorf, MB, BCh
Deputy Editor
Alison G Hoppin, MD


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:

(See "Epidemiology, presentation, and diagnosis of type 1 diabetes mellitus in children and adolescents".)

(See "Management of type 1 diabetes mellitus in children and adolescents".)


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Literature review current through: Jul 2017. | This topic last updated: Jun 28, 2016.
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