ISPAD Clinical Practice Consensus Guidelines 2009 Compendium

Posted on January 8, 2010


Other complications and associated conditions with diabetes in children and adolescents

Impaired growth and development Monitoring of growth and development and the use of percentile charts is a crucial element in the care of children and adolescents with diabetes.

Increased height at diagnosis of type 1 diabetes has been frequently reported (1­4). The precise mecha- nism for this and whether or not this increased height is maintained is unclear. Some studies report that poorly controlled patients show a decrease in height standard deviation score over the next few years, whilst better controlled patients maintain their height advantage (3, 4). Others have not shown this relationship with diabetic control (1).

In a recent Australian study, children treated with modern regimens (diagnosed after 1990) maintained their increased height better than children diagnosed before 1991 (2). Although the median HbA1c did not differ significantly, those diagnosed after 1990 had a significantly higher number of insulin injections per day.


Posted in: complicatii