Evidence-based Paediatric and Adolescent Diabetes brings together an international group of paediatric diabetes specialists to address the cause, course and complications of all types of diabetes. From a careful review of the latest research, they propose the best possible evidence-based recommendations for the care of children and the youth with diabetes. The text provides the reader with an understanding across three different levels: * Reviews how strong the evidence is for recommending one approach over another * Highlights areas where evidence is not based on the types of studies needed to provide 'highgrade recommendations', but where there is a general consensus as to the most sensible approach * Identifies the issues that remain inadequately addressed such that no definitive recommendations can be made As the incidence of type 1 diabetes mellitus continues to increase worldwide, and type 2 is being seen in more young people, this timely volume will help a wide range of health care professionals deliver the best possible care to their young patients.
List of contributors. Foreword. Preface. 1 Methodology of evidence-based medicine. Jeremy Allgrove (Royal London Hospital). 2 Definition, epidemiology and classification of diabetes and structure. of the diabetes team. Maria Craig (Institute of Endocrinology & Diabetes), Sarah J. Glastras (Institute of Endocrinology and Diabetes) & Kim Donaghue (The Children's Hospital at Westmead). 3 Aetiology of type 1 diabetes mellitus - genetics, autoimmunity. and trigger factors. Loredana Marcovecchio (University of Cambridge), David B. Dunger (University of Cambridge),. Mark Peakman (King's College London) & Keith W. Taylor (Barts and the London). 4 Type 1 diabetes mellitus - management. Joanne J. Spinks (John Radcliffe Hospital), Julie A. Edge (John Radcliffe Hospital), Krystyna Matyka (Clinical Sciences Research Institute) & Shital Malik (Paediatric Specialist Registrar). 5 Type 1 diabetes mellitus in the very young child. Stuart Brink (Tufts University School of Medicine). 6 Adolescence and diabetes: clinical and social science perspectives. Alexandra Greene (University of Aberdeen) & Stephen Greene (Maternal and Child Health Sciences). 7 Management of special situations in diabetes. Fergus J. Cameron (Department of Endocrinology and Diabetes) & Jeremy Allgrove (Royal London Hospital). 8 Dietary management: optimising diabetes outcomes. Sheridan Waldron (Leicestershire Nutrition and Dietetic Service). 9 Education in childhood diabetes. Peter G.F. Swift (Leicester Royal Infirmary). 10 Psychological interventions in childhood diabetes. John W. Gregory (Cardiff University) & Sue Channon (Consultant Clinical Psychologist). 11 Screening for associated conditions and prevention of complications. Catherine Peters (SpR Paediatric Endocrinology) & Jeremy Allgrove (Royal London Hospital). 12 Type 2 diabetes mellitus - genetics, diagnosis and management. Polycystic ovarian syndrome. John Porter (Birmingham Children's Hospital) & Timothy G. Barrett (Institute of Child Health). 13 Rare forms of diabetes. Julian Shield (University of Bristol), Maciej T. Malecki (Jagiellonian University), Nicola A. Bridges (Chelsea and Westminster Hospital) & Jeremy Allgrove (Royal London Hospital). 14 Diabetes and information technology. Kenneth J. Robertson (Royal Hospital for Sick Children). Abbreviations. Index