title: Consensus statement on diabetes in children.
abstract: While T1DM has been traditionally seen as a minor concern in the larger picture of pediatric ailments, new data reveals that the incidence of T1DM has assumed alarming proportions. It has long been clear that while the disease may be diagnosed at an early age, its impact is not isolated to afflicted children. The direct impact of the disease on the patient is debilitating due to the nature of the disease and lack of proper access to treatment in India. But this impact is further compounded by the utter apathy and often times antipathy, which patients withT1DM have to face. Lack of awareness of the issue in all stakeholders, low access to quality healthcare, patient, physician, and system level barriers to the delivery of optimal diabetes care are some of the factors which hinder successful management of T1DM. The first international consensus meet on diabetes in children was convened with the aim of providing a common platform to all the stakeholders in the management of T1DM, to discuss the academic, administrative and healthcare system related issues. The ultimate aim was to articulate the problems faced by children with diabetes in a way that centralized their position and focused on creating modalities of management sensitive to their needs and aspirations. It was conceptualized to raise a strong voice of advocacy for improving the management of T1DM and ensuring that "No child should die of diabetes". The unique clinical presentations of T1DM coupled with ignorance on the part of the medical community and society in general results in outcomes that are far worse than that seen with T2DM. So there is a need to substantially improve training of HCPs at all levels on this neglected aspect of healthcare.
authors.affiliation: Consultant Endocrinologist, Bangalore Diabetes Hospital, Vasanthnagar, Bangalore, India.
authors.forename: K M
authors.initials: KM
authors.lastname: Prasanna Kumar
authors.affiliation: Chairman, Karnataka Health Commission and Vice-Chancellor, Bangalore University, Bangalore, India.
authors.forename: N Prabhu
authors.initials: NP
authors.lastname: Dev
authors.affiliation: Director, Department of Health and Family Welfare Services, Government of Puducherry, Puducherry, India.
authors.forename: K V
authors.initials: KV
authors.lastname: Raman
authors.affiliation: Chief Medical Officer and Project Director, Goa State AIDS control society, Panaji, Goa, India.
authors.forename: Rajnanda
authors.initials: R
authors.lastname: Desai
authors.affiliation: Additional Director (DCP), State Surveillance Officer (IDSP), State Nodal Officer (NCDs), Directorate of Public Health and Family Welfare, Government of Andhra Pradesh, Hyderabad, India.
authors.forename: T Geetha
authors.initials: TG
authors.lastname: Prasadini
authors.affiliation: Medical Superintendent and Senior Professor of Medicine, JIPMER, Puducherry, India.
authors.forename: A K
authors.initials: AK
authors.lastname: Das
authors.affiliation: Director, Access to Health, Changing Diabetes Partnerships, NNAS, Denmark.
authors.forename: Soraya
authors.initials: S
authors.lastname: Ramoul
keywords: Awareness creation; Type 1 Diabetes; guidelines on insulin use; patient centric approach; role of policy makers and Government