REVIEW

Infant and toddler diabetes

Declan Cody

Correspondence to:
Correspondence to:
Declan Cody
Department of Endocrinology and Diabetes, Our Lady’s Children’s Hospital, Crumlin, Dublin 12, Ireland; declan.cody@olhsc.ie

Accepted 16 January 2007

Keywords: toddler diabetes; food refusal; hypoglycaemia; insulin therapy; family functioning

The first 150 words of the full text of this article appear below.

The incidence of type 1 diabetes mellitus continues to increase with an estimated rise in incidence rates of between 3% and 5% per year.^1,2 This increase has been most pronounced in the pre-school age group.^3,4

The rising incidence has been paralleled by the increasing intensity of management of this condition. The Diabetes Control and Complications Trial (DCCT) study group demonstrated the importance of intensive diabetes management and subsequent strict glycaemic control, with significant reductions in microvascular complications with small changes in HbA1c.⁵ However, intensive diabetes management is associated with a potential increased risk of severe hypoglycaemia.^6,7 Efforts to achieve near-normoglycaemia as early as possible after diagnosis should be considered based on the "tracking phenomenon" data which suggest a correlation between metabolic control in the early stages of treatment and that in subsequent years.⁸

The importance of intensive diabetes management has significant implications for toddlers and infants diagnosed with diabetes and . . . [Full text of this article]

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Relevant Article

A brief digest of the August issue
Arch. Dis. Child. 2007 92: e8. [Extract] [Full Text] [PDF]

This article has been cited by other articles:

• Crasto, W, Jarvis, J, Khunti, K, Davies, M J (2009). New insulins and new insulin regimens: a review of their role in improving glycaemic control in patients with diabetes. Postgrad. Med. J. 85: 257-267 [Abstract] [Full Text]