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Chapter 1: Definition, epidemiology, diagnosis and classification of diabetes in children and adoles
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Dear Members,
Dear Friends,

Pediatric diabetes is not only about type 1 diabetes (“juvenile diabetes”). The worldwide trends of both, type 1 and type 2 diabetes incidence and prevalence in children and adolescents are growing. It is extremely important for every pediatrician to know how to diagnose diabetes, how to define it, and how to distinguish the types and classes of diabetes to provide accurate treatment, therefore every pediatrician, doctor-in-training or nurse should be familiar with this ISPAD chapter.

Emerging evidence suggests that trends in incidence of type 1 diabetes vary markedly from country-to-country, vary by sex, by race, by age group as well as by time period around the world, consistent with disease etiology that involves environmental triggers super-imposed on genetic susceptibility.



Although type 1 diabetes accounts for the majority of childhood and adolescent diabetes, the worldwide incidence and prevalence of type 2 diabetes in children and adolescents is increasing. Population-based epidemiologic data is limited and suggests that patterns of incidence vary by country, age category, and racial/ethnic subgroups.

This chapter of the 2018 ISPAD Clinical Guidelines is a must-read for every clinician – it contains all necessary information about diagnosis, epidemiology and definitions, it informs what diagnostic tools may assist in confirming types of diabetes. The chapter specifies the differences between diagnosis and management of neonatal, monogenic, mitochondrial or cystic fibrosis related diabetes. This is extremely important to be aware of other, less common types of diabetes (monogenic, neonatal etc.), as it has important implications for both treatment and education.

See more about the burden of pediatric diabetes from the SEARCH study from our online resources: Robert Vines Lecture: Can We Put The Brakes On The Drivers Of Diabetes? Burden, presentation and course of pediatric diabetes - lessons from SEARCHDana Dabelea. ISPAD + APEG 2015

Learn how to distinguish between type 1 and type 2 diabetes in youth: [2017] Meet the Expert 3 - Type 2 Diabetes in Youth. How to distinguish between type 1 and type 2 diabetes in youth. Philip Zeitler



The Conference Resource Platform has been made possible thanks to an independent educational sponsorship from
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Tribute to Dr. Carlo Acerini


 

We are greatly saddened at the untimely death of Dr. Carlo Acerini on May 20, 2019, aged 57 years. He passed whilst in service to ISPAD as Co-Chief Editor of the ISPAD Clinical Practice Consensus Guidelines for 2022; and Associate Editor for “Pediatric Diabetes”.
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If you have any questions, please contact:

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© 2019 International Society for Pediatric and Adolescent Diabetes (ISPAD)

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