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Chapter 18 : Microvascular and macrovascular complication in children and adolelescents

Chapter 18: Microvascular and macrovascular complications in children and adolescents

Kim C Donaghue, Loredana Marcovecchio, R Paul Wadwa, Emily Y Chew, Tien Wong, Eduardo Calliari, Bedowra Zabeen, M. Mona Salem, Maria E Craig


The new Vascular Complications Guidelines recommend to start screening for microvascular complications at age 11 years (formerly 10 years). Screening for lipid abnormalities is now acceptable in the non-fasting state, and the preferred method to screening for renal disease is by first morning urinary albumin creatinine ratio. For females planning for pregnancies, screening for microvascular disease should be performed pre-conception and during each trimester.

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