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Recommendations for self-monitoring in pediatric diabetes: a consensus statement by the ISPED
Andrea Scaramuzza1, Valentino Cherubini, Stefano Tumini
1Department of Pediatrics, Azienda Ospedaliera, University of Milano, "Ospedale Luigi Sacco," via G.B. Grassi 74, 20157, Milan, Italy, scaramuzza.andrea@hsacco.it.
Insights
Italian experts created guidelines for managing type 1 diabetes in children and adolescents, emphasizing self-monitoring of blood glucose and continuous glucose monitoring. These recommendations should be adapted locally and supported by national health services.
Area of Science:
- Pediatric Endocrinology
- Diabetology
- Metabolic Disorders
Background:
- Type 1 diabetes management in pediatric populations requires standardized approaches.
- Glycemic control is crucial for preventing long-term complications in children and adolescents.
Purpose of the Study:
- To develop and approve Italian recommendations for glycemic control in pediatric type 1 diabetes.
- To provide evidence-based guidance on self-monitoring and continuous glucose monitoring.
Main Methods:
- Comprehensive literature review on various glycemic control measures.
- Expert panel discussion and approval by the Italian Society of Pediatric Endocrinology and Diabetology.
Main Results:
- Established recommendations covering self-monitoring, continuous glucose monitoring, and other glycemic markers.
- Highlighted the importance of local adaptation of international guidelines.
Conclusions:
- Clinical guidelines for diabetes self-management should be developed and adapted globally.
- National Health Services must fund self-monitoring and continuous glucose monitoring for all pediatric type 1 diabetes patients.
Abstract:
A panel of experts of the Italian Society of Pediatric Endocrinology and Diabetology comprehensively discussed and approved the Italian recommendations regarding self-monitoring of blood glucose, continuous glucose monitoring and other measures of glycemic control in children and adolescents with type 1 diabetes. After an extensive review of the literature, we took these issues into account: self-monitoring blood glucose, continuous glucose monitoring, glycemic variability, glycosuria, ketonuria, ketonemia, glycated hemoglobin, fructosamine and glycated albumin, logbook, data downloading, lancing devices, carbohydrate counting, and glycemic measurements at school. We concluded that clinical guidelines on self-management should be developed in every country with faithful adaptation to local languages and taking into account specific contexts and local peculiarities, without any substantial modifications to the international recommendations. We believe that the National Health Service should provide all necessary resources to ensure self-monitoring of blood glucose and possibly continuous glucose monitoring of all children and adolescents with type 1 diabetes, according to the standards of care provided by these recommendations and internationally.
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