NICE diabetes in children guideline

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This summary includes recommendations on pharmacological therapy, recognition and management of diabetic ketoacidosis, and a care pathway.

The following Guidelines for Nurses summary advises on the appropriate diagnosis and management of diabetes mellitus in children and young people. Read this article learn more about:

  • Diagnosis
  • Care pathway (algorithm)
  • Type 1 diabetes

    • education and information for children and young people with type 1 diabetes
    • smoking and substance misuse
    • immunisation
    • insulin therapy for children and young people with type 1 diabetes
    • oral medicines for children and young people with type 1 diabetes
    • dietary management for children and young people with type 1 diabetes
    • exercise for children and young people with type 1 diabetes
    • blood glucose and HbA1c targets and monitoring for children and young people with type 1 diabetes
    • hyperglycaemia, blood ketone monitoring and intercurrent illness in children and young people with type 1 diabetes
    • hypoglycaemia in children and young people with type 1 diabetes
    • difficulties with maintaining optimal blood glucose control in children and young people with type 1 diabetes
    • psychological and social issues in children and young people with type 1 diabetes
  • Type 2 diabetes
    • education and information for children and young people with type 2 diabetes
    • metformin
    • HbA1c targets and monitoring for children and young people with type 2 diabetes
    • psychological and social issues in children and young people with type 2 diabetes
    • monitoring for complications and associated conditions of type 2 diabetes
  • Diabetic ketoacidosis
    • recognition, referral and diagnosis
    • avoiding future episodes of diabetic ketoacidosis
  • Service provision

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