Office Management of the Adolescent with Diabetes Mellitus
June 2006
in “
Primary Care
”
TLDR The document recommends a team-based approach and personalized care for managing diabetes in teenagers.
The 2006 document outlines the comprehensive management of adolescents with diabetes mellitus in a clinical office setting, advocating for a multidisciplinary team approach. It details the importance of routine laboratory evaluations, including HbA1c and urine tests, and annual checks for thyroid function, celiac disease, and lipids. The paper distinguishes between type 1 and type 2 diabetes presentations in adolescents and discusses insulin regimens, self-monitoring of blood glucose, and the use of various insulin delivery devices. Additionally, it addresses the role of sports, the risks associated with drinking, driving, drugs, and smoking, and special considerations for female adolescents regarding PCOS and pregnancy. The document emphasizes the importance of tight glycemic control, individualized treatment plans, diabetes education, and the potential of new therapeutic options and technologies. It does not provide specific numbers from a study but focuses on general management strategies for adolescent diabetes.