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Current Management of Type 1 Diabetes in Children: Guideline-based Expert Opinions and Recommendations
Şükrü Hatun1,2, Tuğba Gökçe1, Ecem Can1
1Koç University Hospital, Department of Pediatric Endocrinology and Diabetes, İstanbul, Turkey
Insights
Effective type 1 diabetes (T1D) management requires a holistic approach, integrating optimal glycemic control with quality of life. This review highlights 10 key recommendations from ISPAD 2018-2022 guidelines for practical T1D care.
Area of Science:
- Endocrinology
- Metabolic Disorders
- Pediatric Diabetes Care
Background:
- Type 1 diabetes (T1D) management necessitates a comprehensive strategy beyond glycemic control.
- Current goals include optimizing glucose levels, enhancing quality of life, and preventing complications.
Purpose of the Study:
- To present 10 key recommendations for practical T1D management based on ISPAD 2018-2022 guidelines.
- To emphasize the role of teamwork and technology in current T1D treatment.
Main Methods:
- Review of the International Society for Pediatric and Adolescent Diabetes (ISPAD) guidelines from 2018-2022.
- Integration of clinical experiences to derive practical recommendations.
Main Results:
- The review synthesizes 10 critical recommendations for T1D management.
- Emphasis is placed on a holistic approach, including psychosocial aspects and long-term health.
Conclusions:
- Adherence to updated ISPAD guidelines and adoption of technology are crucial for optimal T1D outcomes.
- Teamwork and tailored guidance are essential for individuals with T1D and their families.
Abstract:
Successful management of type 1 diabetes (T1D) requires not only optimal glycemic outcomes, but also a holistic approach that encompasses all aspects of life and recommendations to address needs. Current goals include optimal glycemic values, quality of life and life expectancy similar to peers, prevention of long-term complications, prevention of severe hypoglycemia as far as possible and facilitation of glucose management. The International Society for Pediatric and Adolescent Diabetes (ISPAD) has been updating its guidelines for diabetes care every four years since 1995, covering more and more topics. For optimal metabolic outcomes, diabetes teams need to follow these current recommendations, adapt them to their clinical practice and provide guidance to people with T1D and their families. In this review, in the light of ISPAD 2018-2022 guidelines and clinical experiences, “10 Key Recommendations”, emphasizing the importance of teamwork and the use of technology, current T1D treatment is described for practical applications.
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