Marteau T M, Baum J D
Arch Dis Child. 1984 Jun;59(6):566-70. doi: 10.1136/adc.59.6.566.
Children with diabetes may be managed by either paediatricians or adult physicians with a particular interest in diabetes. This study compares the views of these two groups of doctors on juvenile onset diabetes. A questionnaire was given to all doctors attending two conferences, one primarily for paediatricians and one primarily for adult physicians with a particular interest in diabetes. Adult physicians estimated morbidity and mortality from juvenile onset diabetes to be significantly higher after 30 years than did paediatricians. The two groups of doctors also differed in the target blood glucose concentrations they considered optimal for diabetic children--more paediatricians opted for higher values than did adult physicians. The findings of this study support the view that paediatricians and adult physicians view juvenile onset diabetes differently. The origin of these differences is uncertain but may relate to the contrasting clinical experiences of the two groups of specialists.
患有糖尿病的儿童可由儿科医生或对糖尿病有特殊兴趣的成人医生进行管理。本研究比较了这两组医生对青少年期发病糖尿病的看法。向参加两个会议的所有医生发放了问卷，其中一个会议主要面向儿科医生，另一个会议主要面向对糖尿病有特殊兴趣的成人医生。成人医生估计青少年期发病糖尿病在30年后的发病率和死亡率明显高于儿科医生。两组医生在他们认为对糖尿病儿童最佳的目标血糖浓度方面也存在差异——选择较高值的儿科医生比成人医生更多。本研究结果支持以下观点，即儿科医生和成人医生对青少年期发病糖尿病的看法不同。这些差异的根源尚不确定，但可能与两组专家截然不同的临床经验有关。
