Prävention der Langzeitfolgen des Diabetes mellitus

ArticleinMonatsschrift Kinderheilkunde 149(7):670-677 · June 2001with2 Reads
Impact Factor: 0.23 · DOI: 10.1007/s001120170120


    Among the secondary complications of diabetes, early stages of retinopathy and nephropathy are of foremost importance in pediatrics. Therefore, periodic examinations of the retinal status and of the urinary albumin excretion become necessary with the onset of puberty or after 5 years of diabetes duration.
    Risk factors for the development of diabetic angiopathy are the degree of glycaemic control, both, before and after puberty, arterial blood pressure, lipid abnormalities, sex steroids, smoking and genetic components.
    Age-appropriate individualized information on the risk for late complications is necessary in the counseling of adolescents, parents and caregivers to decrease unwarranted fear and to empower families for a motivated diabetes therapy. Increasing evidence points to the importance of initiating good diabetes treatment already in the first year of diabetes for the long term prognosis. Thus pediatricians have to join forces to enable all children with diabetes to have access to experienced multiprofessional pediatric diabetes care from the onset of the disease.