Management of Type 1 Diabetes Mellitus in Children & Adolescents in Primary Care
- Author:
Hong YHJ
;
Hassan N
;
Cheah YK
;
Jalaludin MY
;
Kasim ZM
- Publication Type:Journal Article
- Keywords:
Type 1 diabetes mellitus;
diagnosis;
diabetic ketoacidosis;
treatment;
complications
- From:Malaysian Family Physician
2017;12(2):18-22
- CountryMalaysia
- Language:English
-
Abstract:
The Clinical Practice Guidelines on the Management of Type 1 Diabetes Mellitus in Children
& Adolescents was developed by a multidisciplinary development group and approved by the
Ministry of Health Malaysia in 2015. A systematic review of 15 clinical questions was conducted
using the evidence retrieved mainly from MEDLINE and Cochrane databases. Critical appraisal
was done using the Critical Appraisal Skills. Recommendations were formulated on the accepted
136 evidences using the principles of Grading Recommendations, Assessment, Development and
Evaluation tailored to the local setting.
Type 1 diabetes mellitus is a chronic disease, which usually occurs at an early age, and is
associated with various complications including retinopathy, nephropathy, neuropathy and
cardiovascular morbidity. Good glycaemic control early in the disease results in lower frequency
of chronic diabetes complications, which in turn reduces the healthcare cost. Accurate
classification of diabetes and optimum management with the aim to achieve glycaemic targets is
of utmost importance.
