NICE round up: Diagnosing and managing diabetes in children
NICE has identified evidence based advice on the diagnosis and management of type 1 and type 2 diabetes in children and young people under 18 years.
The guideline recommends establishing strict targets for blood glucose control in order to reduce long-term risks linked with diabetes.
Children and young people who are suspected to have type 1 diabetes should be immediately (on the same day) referred to a multidisciplinary paediatric diabetes team.
Patients with the following should be suspected to have type 2 diabetes: are of black or asian family origin, are obese, have strong type 2 diabetes in their family history and/or have no insulin requirement or only require less than 0.5 units/kg body weight.
From the time of diagnosis children and young people with type 1 diabetes should be offered multiple daily injection basal-bolus insulin regimens.
If this option is not appropriate for the patient, continuous subcutaneous insulin infusion therapy should be considered.
When managing type 1 and type 2 diabetes children and young people and their family members or carers should receive continuing education from the beginning of the diagnosis.
Therefore, the more they understand about the condition, the better they will be able to mange it.
The guideline additionally identifies advice for psychological and social issues for those with diabetes.
Children and young people with type 1 and type 2 diabetes and their family members or carers should have a continuing access to mental health professionals that have an understanding of diabetes.
This is because if they experience psychological problems such as: anxiety, family conflict, depression and behavioural and conduct disorders, the management of their diabetes and wellbeing can be affected.
The standard has been provided by NICE to help guide healthcare professionals who care for children and young people with diabetes, as well as commissioners and those who provide diabetes service and patients themselves.