Chapter 4: Diagnosis and management of monogenic diabetes in children
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7/17/2018 at 4:02:40 PM GMT
Posts: 40
Chapter 4: Diagnosis and management of monogenic diabetes in children
Dear ISPAD member/friend,

Thank you for your continued interest in the 2018 ISPAD Clinical Practice Consensus Guidelines and in the previous drafts chapters we shared with you.

We are happy to announce that the last chapter, Chapter 4: The diagnosis and management of monogenic diabetes in children and adolescents is now ready for you to read and comment on. 
Please note that all comments should be received before Monday, July 23, 2018 - 8:00 CET to be incorporated into the revised version of the chapter.
We are looking forward to hearing your thoughts and input on this chapter. 

Kind regards,

David Maahs

ISPAD Secretary-General

 Attached Files: 
ISPAD MODY.pdf (0 bytes)

Last edited Tuesday, July 24, 2018
7/24/2018 at 2:48:40 AM GMT
Posts: 1
A few comments

Hattersley and colleagues have drafted an excellent review on this topic which adds greatly to the guidelines updates.

Would suggest that the "what to do if you suspect not type 1 diabetes" "what to do if you suspect not type 2 diabetes" etc section would be well suited to be a converted into a practical table or flow diagram - the text in that section becomes redundant and somewhat difficult to follow.

Minor comments-

  • would take out term non-insulin dependent diabetes
  • would reference the statement saying that genetic testing will yield a MODY diagnosis in 80% of cases of diabetes diagnosed before age 6 months (that's impressive, didn't know it had gotten that good!)
  • the conclusions don't carry the same imperative around testing as the rest of the article.  Would choose a stand (either that all should be tested - resources permitting - or that a more nuanced approach to testing is reasonable - and go with it!)



Last edited Monday, July 23, 2018

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