Skip to main content

Diabetes Mellitus, Type 1

Irfan Siddiqui, MD and Armand Krikorian, MD, FACE Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Type 1 diabetes mellitus (T1DM) is a chronic disease caused by pancreatic insufficiency (deficiency) of insulin production.

  • Results in hyperglycemia and end-organ complications (e.g.,...

DIAGNOSIS

DIFFERENTIAL DIAGNOSIS

  • Benign renal glycosuria

  • Glucose intolerance

  • Type 2 diabetes

  • Consider monogenic diabetes if

    • Diabetes diagnosed before 6 months of age

    • Strong family history of diabetes with...

TREATMENT

GENERAL MEASURES

  • Overall control of carbohydrate metabolism for all pediatric age ranges (1)[C]

  • Education regarding matching of mealtime insulin dose to carbohydrate intake, premeal blood gluc...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

  • Normal; full participation in sports activities

  • Regular aerobic exercise is recommended.

Patient Monitoring

  • Blood pressure (BP) checks at every routine visit with a ...

REFERENCES

1
1 American Diabetes Association. Standards of medical care in diabetes—2016: summary of revisions. Diabetes Care.  2016;39(Suppl 1):S4–S104. {L-End} {L-End} [View Abstract on OvidM...

SEE ALSO

Diabetes Mellitus, Type 2; Diabetic Ketoacidosis 

CODES

ICD10

  • E10.9 Type 1 diabetes mellitus without complications

  • E10.8 Type 1 diabetes mellitus with unspecified complications

  • E10.69 Type 1 diabetes mellitus with other specified complication

  • E10.29 Type...

CLINICAL PEARLS

  • Polyuria may present as nocturia, bedwetting, or incontinence in a previously continent child.

  • Young children are more likely to present in DKA because they may not express thirst or ob...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×