A few weeks' worth of polyuria, polydipsia, polyphagia, and weight loss, together with hyperglycemia, glycosuria, ketonemia, and ketonuria, are typically present in type 1 diabetic children and teenagers. Low renal glucose threshold may be the root cause of isolated glucoseuria, particularly when there is no ketonuria.
The age of the child, the ability to provide ambulatory care education, the clinical severity of the child at presentation, and the patient's proximity to a tertiary care facility will determine whether the preliminary treatment and education is given as an inpatient or a primary care and whether this treatment is provided by a pediatric endocrinologist/diabetes team, a cardiologist endocrinologist, or the child's primary care provider. A diabetes team composed of a pediatric endocrinologist, a nurse educator, a nutritionist, and a mental health specialist qualified to offer current pediatric-specific teaching and support should ideally review every child newly diagnosed with type 1 diabetes.
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