ISPAD Clinical Practice Consensus Guidelines 2018
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Chapter 12: Hypoglycemia 8 D. Maahs It is a comprehensive work. I have a request for adding a paragraph of " prevent hypoglycemia before driving " which should be educated and emphasized to patients. Thanks for hard work. S. Likitmaskul
by S. Likitmaskul
Friday, January 12, 2018
Chapter 3: Type 2 Diabetes 0 D. Maahs Dear ISPAD member/friend, The 2014 ISPAD Practical Consensus Guidelines were much appreciated. We are happy to announce that preparations for the 2018 Guidelines are now well underway and that a new draft chapter is now ready for your comments and input. We look forward to hearing your thoughts and ideas on the Type 2 Diabetes chapter here below! Kind regards, David Maahs ISPAD Secretary-General 
by D. Maahs
Thursday, January 11, 2018
Chapter 6: Diabetes Education 0 D. Maahs Dear ISPAD member/friend, The 2014 ISPAD Practical Consensus Guidelines were much appreciated. We are happy to announce that preparations for the 2018 Guidelines are now well underway and that a new draft chapter is now ready for your comments and input. We look forward to hearing your thoughts and ideas on the Diabetes Education chapter here below! Kind regards, David Maahs ISPAD Secretary-General 
by D. Maahs
Thursday, January 11, 2018
Chapter 9: Insulin 3 D. Maahs This chapter is comprehensive and authoritative. Contains the latest, up to date information on insulins and insulin delivery methods; i.e., "the state-of-the-art". There is an overwhelming predominance of information relevant to the practice of pediatric diabetes in high income countries. In order for the guidelines to be useful and relevant to practice in middle and low income countries where penetration of technology is more limited and analogs may not be available or are unaffordable for many, it seems to me that this chapter should contain a more complete discussion of how best to use "simpler" insulin regimens (e.g, twice daily using regular and NPH). Other specific comments:   P.15 In addition to 300 unit cartridges, there are also 3mL vials available for various insulins (Humalog, Regular, NPH, Humulin 70/30) P.17 30 unit or 0.3 mL syringes with ½ unit markings also available P.21 The sentence: “short disconnection of the pump … blood glucose increment of 1 mg/dL i.e., 1.5 mmol/l per30 minutes …” appears to have a typo 1.5 mmol/l is 27 mg/dL. ? meant to state 1 mg/dL per minute or 30 mg/dL per 30 minutes P.28  “Pumps have the possibility of delivering the bolus dose in different ways in order to reduce the postprandial blood glucose excursions (212)” I think I know what this means but wonder if the “different ways” should be explained here for the benefit of readers who may not be experts in pump therapy:  dual wave, extended bolus, etc.?
by J. Wolfsdorf
Saturday, January 6, 2018
Chapter 17: Adolescence 2 D. Maahs I suggest adding a recommendation to routinely screen adolescents for depression at clinic visits in the Executive Summary and Recommendations?   Page 3 Grade of evidence is (D/E) in two places. I believe ISPAD guidelines uses the ADA grading system. There is no grade D. Was this intended to be B/E?   Page 4 Line 4 Although it is implied (because the chapter is about adolescence and diabetes, I suggest modifying the sentence:  Although the majority of adolescents with diabetes adapt well to the challenges of puberty … it must be recognized that … “ There certainly are challenges associated with puberty, but they are only difficult for some.   Page 4 3rd line from bottom, omit apostrophe after adolescents   Page 5 … recreational and illicit drugs (e.g. in some US states, formerly illicit drugs are now legal!)   Also on page 8   Page 6 … computer games, internet, and television (“screen time”) Replace potentially with may not be on their priority list   Page 6 line 8 “This is perhaps reflective of …” “Can be used to bridge competing priorities”   Page 7 “… indifferent parents may have severe mental health problems … “   Page 8 For readers who are unfamiliar with the HEADSS technique, I suggest providing more information (perhaps add a Table on how to use this assessment method in clinic)   Page 13 The abbreviation STIs has not been defined; used in several places
by J. Wolfsdorf
Saturday, January 6, 2018
Chapter 11: Diabetic ketoacidosis and hyperglycemic hypersmolar state 2 D. Maahs Fergus,Thank you for your comments. I will amend the article to include effects of DKA on other cognitive domains and grey/white matter changes. JW
by J. Wolfsdorf
Saturday, January 6, 2018

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