advertisement
 

  Back to Ask the Diabetes Team Ask the Diabetes Team
Question:

From the United Kingdom:

My son was diagnosed with Type 1 diabetes in May 1992 [about 4 1/2 years ago]. He is generally well controlled with Hb1ac results in the normal range and no signs of hypertension. I understand the first signs of diabetic nephropathy may exhibit from the 5th year after diagnosis. Would you recommend routine use of microalbuminuria testing after the 5th year? Would your recommendations and treatment options be different for a child than an adult?

Answer:

You don't give the age of your son. The link between microalbuminuria and nephropathy in children is still unproven and the former is unusual in children. Currently a UK wide study is being set up to answer some of the outstanding questions. Age seems to be important as well as duration of diabetes. To be entirely pragmatic about it - I would be perfectly happy not to start routine screening until a patient is over 12 years old and has had diabetes for 4 years. Many centres will test first morning urine specimens on an annual or more frequent basis without asking for a formal timed overnight urine collection. Discuss this with your local diabetes team.

As far as management is concerned - there have been remarkably few studies but, in proven microalbuminuria, there would appear to be the same beneficial effects from the ACE inhibitor drugs as in adults but much more work is required.

KJR

Original posting 28 Dec 96

  
advertisement


                 
  Home Return to Top

Last Updated: Tuesday April 06, 2010 15:08:52
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2015. Comments and Feedback.