(Outpatient Management vs In-Hospital Management of Children with New-Onset Diabetes

Author:

Chase H. Peter1,Crews Kent R.2,Garg Satish1,Crews Michael J.1,Cruickshanks Karen J.1,Klingensmith Georgeanna1,Gay Elizabeth1,Hamman Richard F.1

Affiliation:

1. Department of Pediatrics, Barbara Davis Center for Childhood Diabetes, University of Colorado Health Sciences Center, and The Children's Hospital, Denver, Colorado, Department of Preventive Medicine and Biometrics, University of Colorado Health Sciences Center, and The Children's Hospital, Denver, Colorado

2. Department of Pediatrics, Barbara Davis Center for Childhood Diabetes, University of Colorado Health Sciences Center, and The Children's Hospital, Denver, Colorado, Department of Preventive Medicine and Biometrics, University of Colorado Health Sciences Center, and The Children's Hospital, Denver, Colorado,

Abstract

The long-term results of outpatient management of subjects with newly diagnosed insulin-dependent diabetes mellitus (IDDM) are unknown. The longest follow-up described to date is for only one year, a time when most children with IDDM still make endogenous insulin. In this study, 41 young subjects with IDDM, treated and educated in the outpatient setting (1980 to 1984), were compared to a group of 80 similar subjects who received their initial education as hospital inpatients. Long-term glycemic control, as measured by longitudinal glycohemoglobin (HbAI) values was not different in the two groups (p >.05). We conclude that outpatient education and management of newly diagnosed subjects with IDDM is as safe and effective as inpatient treatment.

Publisher

SAGE Publications

Subject

Pediatrics, Perinatology and Child Health

Reference24 articles.

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2. Outptient Management of Diabetic Children

3. Brink SJ Pubertal and postpubertal diabetes (10-21 years old). In: Pediatrics and Adolescent Diabetes Mellitus. Chicago, IL : Yearbook Publishing Corp; 1987 :89-137.

4. Third-Party Reimbursement for Outpatient Education and Nutrition Counseling

5. Outpatient regulation of the insulin-requiring person with diabetes (an alternative to hospitalization)

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