title: Ambulatory long-term treatment of childhood diabetes mellitus.
abstract: Increasing evidence is accumulating to show the beneficial effect of a good balance of diabetes in protecting against diabetic microangiopathy. The pediatrician's responsibility is to recommend and supervise the best use of the three basic cornerstones of the longterm-treatment, insulin, diet and exercise. The review deals with insulin therapy focusing on insulin treatment "tailored" to the stage of the disease. Twice-daily insulin is in most cases preferable to a once-daily regimen. The risk of over-insulinization is stressed. An essential part of long-term treatment is to instruct the child and/or the parents repeatedly on the various aspects of diabetes, particularly the meal plan, and to pay enough attention to psychic factors.
mesh_terms: D000553:Ambulatory Care; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000178:diet therapy / Q000188:drug therapy / Q000523:psychology / Q000628:therapy* / Q000652:urine; D006029:Glycosuria / Q000652:urine; D006801:Humans; D007328:Insulin / Q000008:administration & dosage / Q000627:therapeutic use; D007331:Insulin Coma / Q000503:physiopathology; D005082:Physical Exertion; D013997:Time Factors
chemical_list: D007328:Insulin