Management of newly diagnosed diabetes: home or hospital?

Archives of Disease in Childhood
Lesley Lowes, J W Gregory

Abstract

Type 1 diabetes is one of the most common chronic childhood disorders, occurring with increasing frequency. Diabetes management involves the child and family learning how to inject insulin and monitor blood glucose, and adhere to a diet containing healthy food choices. Medical interventions necessary to stabilise newly diagnosed diabetes depend upon the clinical condition of the child at presentation. Hospital admission is necessary if intravenous therapy is required to correct dehydration, electrolyte imbalance, and ketoacidosis, with progression to oral fluids and subcutaneous insulin administration as the child's condition improves. If the child is mildly to moderately symptomatic and clinically well, subcutaneous insulin and oral diet and fluids may be begun from the time of diagnosis, and stabilisation at diagnosis does not necessarily require hospital admission. This article reviews the evidence concerning hospital or home based treatment at diagnosis for children with type 1 diabetes. The Cardiff approach to home management is briefly described, and the benefits and disadvantages of different approaches to initial management are discussed.

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Citations

Aug 20, 2015·Diabetic Medicine : a Journal of the British Diabetic Association·S Morgan-TrimmerL Lowes
May 6, 2009·Journal of Clinical Nursing·Lesley LowesUNKNOWN UK Insulin Initiation Study (UKIIS) Group
Sep 25, 2012·Diabetic Medicine : a Journal of the British Diabetic Association·J E SpencerB Milton
Sep 17, 2013·Pediatric Diabetes·Ksenia N TonyushkinaHolley F Allen
Aug 28, 2009·Pediatric Diabetes·Dieter WeitzelReinhard Holl
Mar 13, 2015·Qualitative Health Research·Carina Sparud-Lundin, Inger Hallström
Mar 31, 2017·Nature Reviews. Disease Primers·Anastasia KatsarouÅke Lernmark
May 25, 2020·Journal of Pediatric Endocrinology & Metabolism : JPEM·Katrin NaglUNKNOWN DPV initiative
Jan 9, 2021·European Journal of Pediatrics·Marlies Van LoockeUNKNOWN SWEET study group

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