Diabetes News

These data support the use of insulin pumps in this youngest age group, and suggest that metabolic control may be improved without increasing the frequency of severe hypoglycemia, but care should be taken as to the possibly increased risk of DKA (Pediatric Diabetes)

This study is thought to be the first of its kind to consult with children, young people and parents to find out about their experiences of type 1 diabetes care provision. The research findings add to the current evidence base by highlighting the disparities in care, the urgent need for change in the way services are delivered and the involvement of service users in this process (Practical Diabetes)

Our results disclose the glycocalyx as a possible monitoring measurement for earlier detection of diabetic microangiopathy and may provide a basis for new therapeutic strategies aiming at protection or restoration of the glycocalyx (The Journal of Pediatrics)

There is a general immune dampening at diagnosis of T1D, which appears to be related to the metabolic state close to diagnosis (Pediatric Research)

Youth with type 2 diabetes exhibit complications sooner than youth with type 1 diabetes. Younger age at diagnosis is potentially protective, and glycemic control is an important modifiable risk factor. The unexpected adverse association between RAAS inhibitor use and outcome is likely a confounder by indication; however, further evaluation in young people is warranted (Diabetes Care)

Early onset T1D affects regions of the brain that are associated with typical cognitive development (Diabetes)

Treatment with dextrose gel is inexpensive and simple to administer. Dextrose gel should be considered for first-line treatment to manage hypoglycaemia in late preterm and term babies in the first 48 h after birth (The Lancet)

Close follow-up of children with genetic risk enables early detection of T1D. Risk factors for rapid development of diabetes in this young population were first-degree relatives status and autoantibodies to glutamic acid decarboxylase (GADA), insulinoma-associated protein 2 (IA-2) and insulin (IAA) (Pediatric Diabetes)

It is important for nurses to discuss challenges, understand perspectives of this age group, listen to their concerns, work with them to develop strategies promoting health, minimise complications, reduce or eliminate feeling different or alone and assist parents’ efforts to be supportive (Journal of Clinical Nursing)

Over 20 years in Wales there has been no change in the proportion of children with Type 1 diabetes initially presenting with ketoacidosis. This presentation occurs in a higher proportion of new cases aged under 5 years. Publicity to increase awareness did not reduce the proportion with ketoacidosis at diagnosis in Wales (Diabetic Medicine)

The adolescent and young adult years are difficult enough for a young person to handle, the additional burden of managing diabetes making this even harder.

For children diagnosed with Type 1 diabetes aged under 6 years, good metabolic control was achievable until age 10 years, after which it deteriorated. Higher HbA1c levels observed in children diagnosed before the age of 6 years were associated with longer duration of disease (Diabetic Medicine)

Children with T1DM have lower 25OHD than controls, even in an environment of abundant sunlight. Whether low vitamin D is a risk factor or consequence of T1DM is unknown (Pediatric Diabetes)

In the 1st year of life, weight gain in infants born to women with GDM is associated with insulin resistance, unlike in their peers (Diabetes Care)