Assessment of diabetic control:
 - Any episodes of ...
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Assessment of diabetic control:

 - Any episodes of hypoglycaemia, diabetic ketoacidosis, hospital admission? 

 - Is there still awareness of hypoglycaemia? 

 - Absence from school? School supportive of diabetes care? 

 - Interference with normal life? 

 - HbA1c results — 58 mmol/mol (7.5%) or less? 

 - Diary of blood glucose results — if monitoring, is he reacting to results? 

 - Insulin regimen — appropriate? Correction bolus doses given? 

 - Lipohypertrophy or lipoatrophy (Fig. 25.6a and b) at injection sites? 

 - Diet — healthy diet, manipulating food intake and insulin to maintain good control? 



General overview (periodic): 

 - Normal growth and pubertal development, avoiding obesity — measure each visit 

 - Blood pressure check for hypertension yearly (age-specific centiles) 

 - Renal disease — screening for microalbuminuria yearly from 12 years 

 - Eyes — photography for retinopathy or cataracts, yearly from 12 years 

 - Feet — maintaining good care — yearly 

 - Screening for coeliac and thyroid disease at diagnosis, thyroid screening yearly, coeliac again after 3 years or if weight gain poor. 

 - Annual reminder to have flu vaccination 



#diabetes #primarycare #DM1 #Peds #Pediatrics #Assessment 
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