Podcast Beta
Questions and Answers
At what age should annual screening for albuminuria begin for children with type 1 diabetes?
How often should a comprehensive foot exam be conducted for a child with type 1 diabetes?
When is the initial dilated comprehensive eye examination recommended for youths with type 1 diabetes?
What is the recommended frequency for repeating eye examinations if a youth with type 1 diabetes is at risk?
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What factors might influence the frequency of eye examinations for a child with type 1 diabetes?
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Study Notes
Nephropathy
- Annual screening for albuminuria should start at puberty or age over 10 years, whichever comes first.
- Screening is indicated once a child has type 1 diabetes for at least 5 years.
- The screening is performed using a random spot urine sample to determine the albumin-to-creatinine ratio.
Neuropathy
- A comprehensive foot exam should be conducted annually.
- Start the foot exams at puberty or age 10 years or older, whichever is earlier.
- This examination should also begin after the youth has had type 1 diabetes for a minimum of 5 years.
Retinopathy
- An initial dilated and comprehensive eye examination is recommended after 3–5 years of type 1 diabetes.
- This examination is for youths aged 11 years or older or who have begun puberty, whichever occurs first.
- Follow-up eye examinations should occur every 2 years.
- In some cases, less frequent exams (every 4 years) may be acceptable, depending on recommendations from an eye care professional and risk factor assessments related to glycemic control (A1C history).
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Description
This quiz focuses on the annual screening recommendations for nephropathy, neuropathy, and retinopathy in children with type 1 diabetes. It highlights the importance of early detection and management as guidelines suggest screenings at puberty or after 10 years of age, following five years of diabetes diagnosis.
