Diabetes - Medical Practice Guidelines
Minimum Standards of Care for Children with Diabetes
Approximately three-fourths of all newly diagnosed cases of Type 1 diabetes occur in children (under 21 years of age). Children’s health care needs are different from adults in several ways. Providing health care to children must not only involve caring for their physical needs, but it must also be appropriate to their changing developmental stages.It is important to remember that young children have a limited ability to communicate their needs or to indicate if they are in pain, and therefore, should not be expected to understand specific clinical interactions.
Assessment
of Need for Hospitalization for Stabilization
of Newly Diagnosed Children with Diabetes
Indications for Hospitalization for Diabetic Ketoacidosis (DKA)
After Medical Stabilization (One to Three Days)
Diabetes self-management
skills training must be provided by a team with expertise in providing care
to children (must have knowledge and experience in the medical, psycho-social
and developmental needs of children). Team members usually include at a minimum:
physicians, a certified diabetes educator, a registered nurse, a licensed registered
dietitian, psychologist, a social worker and school health nurse.
If the listed professionals are not used, the functional equivalent for
each professional member not used must be documented.
Ongoing Disease Management – First Year
Office VisitsSecond Year and Beyond
Annual Assessment
Criteria that Suggest Children or Adolescents have Type 2 Diabetes
Treatment Goals for Children with Type 2 Diabetes
Treatment Components for Type 2 Diabetes
Treatment of ComplicationsEducation
Monitoring
Nutrition Therapy
Exercise
Follow-Up Visit
Drug Therapy
Additional Medication
Monitoring for Complications
Hypertension
Hyperdipidemia
