© 2003 BMJ Publishing Group & Royal College of Paediatrics and Child Health
LEADING ARTICLE
Endocrinology
Doctor, who will be looking after my child’s diabetes?
1 The Children’s Hospital, Leicester Royal Infirmary, UK
2 Southampton University Hospitals Trust, UK
Correspondence to:
Correspondence to:
Dr P R Betts, East Wing, Level G, Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK;
p.betts@soton.ac.uk
The multidisciplinary diabetes team is the cornerstone of care
Keywords: diabetes; service provision
| The first 150 words of the full text of this article appear below. |
Type 1 diabetes is the third most common chronic disorder in childhood, after asthma and cerebral palsy. It is life threatening, life long, and invades the lives of children both day and night without respite. It is reported to reduce lifespan on average by 25%.1 Its incidence is continuing to rise across the country and is presenting at an earlier age.2,3 The prevalence shows that in a district population of 250 000 there will be 75 young people with this condition.
The standards of paediatric diabetes services provided for these children have been questioned recently,4 and in the past have been shown to be inadequate,5 resulting in suboptimal metabolic control. There is indisputable evidence that the long term complications of diabetes are related to preceding levels of glycated haemoglobin (HbA1C) with an exponential rise occurring with levels >8.5%.6 In many young people with diabetes there is poor compliance
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This article has been cited by other articles:
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Martin, C., Southall, A., Liveley, K., Shea, E., Whitehead, K.
(2009). Multisystemic Therapy Applied to the Assessment and Treatment of Poorly Controlled Type-1 Diabetes: A Case Study in the U.K. National Health Service. Clinical Case Studies
8: 366-382
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Child health
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