title: [Treatment of type 1 diabetes mellitus in children and adolescents].
abstract: Successful therapeutic management of the child and adolescent with diabetes mellitus requires insulin administration, dietary management, physical activity and fitness, without severe hypoglycaemia. The ultimate aim is to avoid long-term microvascular, renal and neurologic complications by maintaining blood glucose concentrations close to the normal range and HbA1c level of approximately 7%. This is possible with 2 daily injections of an individualized mixture of rapid-and intermediate-acting insulins in a syringe as well as with the basal-bolus regimen with pen injectors (rapid-acting insulin before the 3 main meals; intermediate- or long-acting insulin at bed time). A good metabolic control is linked to the quality and intensity of diabetes education by an experienced multidisciplinary team.
authors.affiliation: Clinique de pédiatatrie ambulatoire et de diabétologie, Universitaire Brugmann, Bruxelles, Belgique.
authors.forename: H
authors.initials: H
authors.lastname: Dorchy
mesh_terms: D000293:Adolescent; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000178:diet therapy* / Q000188:drug therapy*; D006801:Humans; D007328:Insulin / Q000008:administration & dosage / Q000145:classification; D011788:Quality of Life; D012648:Self Care; D013177:Sports
chemical_list: D007328:Insulin