The Library
Clinical services for children with diabetes mellitus
Tools
Kirk, Jeremy M. W. and Kershaw, Melanie (2013) Clinical services for children with diabetes mellitus. Paediatrics and Child Health, Volume 23 (Number 4). pp. 141-146. doi:10.1016/j.paed.2012.12.006 ISSN 1751-7222.
Research output not available from this repository.
Request-a-Copy directly from author or use local Library Get it For Me service.
Official URL: http://dx.doi.org/10.1016/j.paed.2012.12.006
Abstract
Unlike adults, most (97%) children with Diabetes Mellitus have type 1 (T1DM) due to absolute insulin deficiency; treatment therefore requires (physiological) insulin replacement. Although the precise cause is unclear, T1DM is occurring more frequently, and is now one of the most common chronic childhood diseases, affecting more than 23,000 young people in England and Wales, a prevalence of ∼ 1-in-600 children. Diabetes control directly correlates with long-term complications, morbidity and mortality, with average life expectancy at diagnosis reduced by 23 years. This review identifies the key issues faced within clinical services managing paediatric T1DM in the UK. Outcomes are recognized to be variable both within, and outside of the UK, with the UK achieving less favourable results compared to other European and developed countries. We discuss possible explanations for this and highlight local, national and international strategies to improve both clinical services and outcomes. Specifically within the UK, the introduction of paediatric diabetes networks, the introduction of the Best Practice Tariff, participation in national audit and development of national diabetes registers are discussed, in addition to the practical therapeutic changes in management such as intensification of insulin therapy.
Item Type: | Journal Article | ||||
---|---|---|---|---|---|
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||
Journal or Publication Title: | Paediatrics and Child Health | ||||
Publisher: | The Medicine Publishing Company | ||||
ISSN: | 1751-7222 | ||||
Official Date: | 2013 | ||||
Dates: |
|
||||
Volume: | Volume 23 | ||||
Number: | Number 4 | ||||
Page Range: | pp. 141-146 | ||||
DOI: | 10.1016/j.paed.2012.12.006 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access |
Request changes or add full text files to a record
Repository staff actions (login required)
View Item |