Complications of Type 1 Diabetes Screening
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Questions and Answers

At what age should annual screening for albuminuria begin for children with type 1 diabetes?

  • At age 10 years or once they have had diabetes for 5 years (correct)
  • At age 11 years or once they have had diabetes for 5 years
  • At the start of puberty or age 12 years
  • At age 8 years or 3 years after diabetes onset
  • How often should a comprehensive foot exam be conducted for a child with type 1 diabetes?

  • Every 6 months regardless of age
  • At diagnosis and then every 2 years
  • Once a year if they are under 10 years old
  • Annually at the start of puberty or age 10 years or older, whichever is earlier (correct)
  • When is the initial dilated comprehensive eye examination recommended for youths with type 1 diabetes?

  • After 2 years of diabetes diagnosis if aged 10 or older
  • Immediately after diagnosis of type 1 diabetes
  • Once they turn 11 years old, regardless of diabetes duration
  • After 3–5 years of diabetes if aged 11 years or older or puberty has started (correct)
  • What is the recommended frequency for repeating eye examinations if a youth with type 1 diabetes is at risk?

    <p>Every 4 years if suggested by an eye care professional</p> Signup and view all the answers

    What factors might influence the frequency of eye examinations for a child with type 1 diabetes?

    <p>A1C levels, glycemic control, and professional recommendations</p> Signup and view all the answers

    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.

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