Education and Multidisciplinary Team Approach in Childhood Diabetes (original) (raw)

2015

Abstract

The DCCT established the basis for treatment of type 1 diabetes around the world. While there were many previous proponents of “strict ” or “tight ” control, there was no scientifically validated research studies to support these concepts and many scientific battles oc-curred between the two groups for many decades. The results of the DCCT were announced and published in 1993 (1) and 1994 (2) setting a standard for near-normalization of blood glucose as well as hemoglobin A1c and utilizing a multidisciplinary team approach (3), frequent blood glucose monitoring and patient-centered adjustments of food and insulin based upon blood glucose data generated by the patient (4). While there were no pre-teenagers recruited in the DCCT, the standard for youngsters with type 1 diabetes was also established with some modifications (5-7) to take into account the risks of hypoglycemia as well as the difficulties of dealing with growing chil-dren. DCCT follow-up studies (8) as well as Belgian (9)...

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