Monitoring youth with type 1 diabetes is similar to monitoring adults with the condition. What should be monitored and how often?
Protein in the Urine (microalbuminuria) - Begin testing once the child is 10 years old and has had diabetes for 5 years.
High Blood Pressure
- Treat if systolic or diastolic blood pressure is consistently above the 90% percentile for age, sex, and height.
- Monitoring and treatment for high blood pressure include weight control through diet changes in increased physical activity if tolerated.
- Medication treatment should be initiated if target blood pressure is not reached within 3-6 months.
Blood Lipid Disorders
- If there is a family history of abnormal blood lipids or cardiovascular event before 55 years of age:
- Fasting lipid profile for children at least 2 years old once blood glucose is under control
- If there is no family history of abnormal blood lipids:
- Fasting lipid profile for children at puberty or around 10 years of age
- Monitor annually if blood lipids are abnormal or every 5 years if blood lipids are within the normal range.
Eye Health - The first eye exam should be obtained once the child is 10 years old and has had diabetes for 3-5 years.
Related conditions - Children with type 1 diabetes should be screened soon for celiac disease and thyroid disorders soon after being diagnosed with diabetes.