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Chapter 7: The Delivery of ambulatory diabetes care to children and adolescents with diabetes
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Dear Members,
Dear Friends
 
From the very first day of the onset of diabetes, it is necessary for children and adolescents with diabetes and their families to receive reliable, high quality, long-term diabetes care. Diabetes is a life-long condition, that is based on the “self-management” of a patient and his/her caregivers. And it is a 24/7 “job”. Therefore, the limited time that they can spend with health-care professionals (altogether, a couple of hours a year!), has to be used as effectively as possible.
Read this ISPAD guidelines chapter on how to deliver the best quality of ambulatory care to the youngest people with diabetes.
 
The child or adolescent with diabetes and his/her caregivers benefit from care delivered by a multidisciplinary team, promoting proficiency in self-management. Key elements of holistic, interdisciplinary care are presented, as are processes and outcomes of care. In this chapter, you can read about the guidelines on the use of current diabetes technologies, a transition from pediatric to adult diabetes care, anticipatory guidance, and addressing barriers to care.  Data collection and sharing for quality improvement programs and cost-effectiveness of optimal diabetes care so as to promote high quality, up-to-date care for all children are also described. Moreover, included is a section on the delivery of care in areas with limited resources. 
To learn more, check the ISPAD online resource platform and see the presentations about Resourcing diabetes care in low- and middle-income countries by François Bonnici and learn What to learn from a registry by Reinhard Holl. Also, listen to Kate Armstrong and find out what are the Rights of the child with diabetes from an international perspective with a focus on the developing world.



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

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