Adi Saleh
Department of Pediatrics, University of California, San Francisco, 513 Parnassus Avenue, Room S-672-D, San Francisco, CA 94143-0434, USA.
Adolesc Med State Art Rev. 2010 Apr;21(1):86-102, ix.
The diagnosis and management of type 1 diabetes in adolescents present special challenges related to the unique hormonal and emotional milieu in the teenage years. Management of type 1 diabetes requires a multitude of life-long daily tasks that the child and/or family must perform to maintain a relatively healthy metabolism and glycemic control. Although in younger children these tasks are performed primarily by the care givers, in the teenage years the burden of diabetes management falls on the adolescents themselves. This review focuses on some of the unique aspects in the diagnosis and management of type 1 diabetes in adolescents, and the impact of pubertal changes on diabetes control, and presents an overview of general guidelines to aid health care providers in the acute and long-term care of these patients.
青少年1型糖尿病的诊断与管理面临着与青少年时期独特的激素和情感环境相关的特殊挑战。1型糖尿病的管理需要孩子和/或家庭必须执行大量的终身日常任务，以维持相对健康的新陈代谢和血糖控制。虽然在年幼儿童中这些任务主要由照顾者完成，但在青少年时期，糖尿病管理的负担落在了青少年自己身上。本综述重点关注青少年1型糖尿病诊断和管理中的一些独特方面，以及青春期变化对糖尿病控制的影响，并概述一般指南，以帮助医疗保健提供者对这些患者进行急性和长期护理。
