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Chapter 7: Delivery of ambulatory diabetes care to children and adolescents with Diabetes

Chapter 7: The Delivery of ambulatory diabetes care to children and adolescents with Diabetes

Catherine Pihoker, Gun Forsander, Bereket Fantahun, Anju Virmani, Sarah Corathers, Paul Benitez- Aguirre, Junfen Fu, David M. Maahs


From the outset, 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 update, we have expanded guidelines on use of current diabetes technologies, transition from pediatric to adult diabetes care, anticipatory guidance, and addressing barriers to care.  We describe 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. Also included is a section on delivery of care in areas with limited resources. 

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