This is an updated guideline from Nice on diagnosing and managing diabetes (DM) in children and young people. I have separated out type 1 DM and type 2 DM for ease.
It is a long and pretty comprehensive guideline and there are a few big changes from the last guideline in 2004. Most of the management of these young people will be in secondary care, so I’ve tried to pull out the bits most relevant to us (or those that I’ve found myself feeling very ignorant of when parents bring their kids in).
If children have symptoms of diabetes and any of the following then do a BM and refer if it is > 11:
- nausea and vomiting
- abdo pain
- impaired conciousness