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Additional Chapter - (published July 20, 2017): Managing diabetes in preschool children
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Dear Members,
Dear Friends,

Preschool children are dependent on others for all aspects of their care. Diabetes during early childhood creates a psychosocial challenge for the families of these children. Successful management of infants and toddlers with diabetes depends on a well functioning and educated family, the availability of a diabetes health care team experienced in the treatment of these youngsters, and the involvement of the extended family, childcare personnel and others who play a role in their daily care.
 
For the families (primarily parents), diabetes teams, and other caregivers, including school and day-care staff members and babysitters, diabetes treatment is a constant challenge. Optimizing glycemic control for children in this age group often requires treatment using strategies that differ from those employed for older children and adolescents with type 1 diabetes. These strategies need to take into consideration the cognitive, motor, and social immaturity of preschool children as well as their small body size and growth pattern.
 
Children under 7 have very low insulin requirements, irregular eating and activity patterns, and, traditionally young age is regarded as a marker for high risk of severe hypoglycemia during insulin treatment. Therefore, insulin pump therapy is the preferred method of insulin administration for young children with type 1 diabetes.


 
Fear of hypoglycaemia often occurs in parents/caregivers, leading to suboptimal control. Yet, despite this hurdle, it is important to strive for normoglycemia, as current knowledge about the implications of dysglycemia makes reducing the likelihood of acute and chronic complications imperative from the time of diabetes onset. Moreover, lifestyle choices and preferences established during early childhood provide a window of opportunity for ingraining healthy habits that will be perpetuated throughout the child's life.
 
Read more about the challenges that families of the youngest patients with diabetes face and how health-care professionals could support them in the ISPAD Guidelines chapter.
 
Watch the lectures from our online resource platform:
How to treat toddlers? by Frida Sundberg
Predictably unpredictable: managing food, insulin and expectations for toddlers with type 1 diabetes by Michelle Raymond

 
The Conference Resource Platform has been made possible thanks to an independent educational sponsorship from
,
If you have any questions, please contact:

ISPAD Conference Secretariat
K.I.T. Group GmbH
Association & Conference Management
Tel.: +49 30 24 60 3-270
Fax: +49 30 24 60 3-200
 
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