Management of the young diabetic in general practice

The doctor and both parents should share a complete understanding of the principles of optimal control of a child's diabetes. The most realistic aim of management is to achieve near normal blood glucose concentrations in the few hours before meals rather than in the post-absorptive period. Initial stabilisation and training of the young diabetic is usually best-carried out in a hospital. However, day-to-day problems encountered by the established diabetic will present to the family doctor for management. Occasional review of the diabetic state, encouragement, and an attempt to solve the day-to-day problems of diabetes will usually allow a diabetic youngster to grow up with confidence and good health.