1047
or more years and
retinopathy in 55’ 5 % with diabetes for 15 years or
more.3,4
Hospital admission for children with diabetes often causes confusion because staff unwittingly project conflicting messages. The essential requirements in the first week after diagnosis are msulin given in a sensitive manner and simple, consistent advice from only one or two specialists with experience in diabetes. This can for most children be provided on an outpatient or domiciliary basis by a consultant-led team which is available outside normal working hours by telephone.2 P. G. MCNALLY P. G. F. SWIFT A. C. BURDEN J. R. HEARNSHAW
Diabetic Unit, Leicester
Royal Infirmary,
Leicester LE1 5WW, UK
1. Walker JB. Fieldwork of a diabetic clinic. Lancet 1953; ii: 445-47. 2 Heamshaw JR. Childhood and after-a review of childhood diabetes in an English community 1930-1985. In: Serano-Rios M, Lefebvre PJ, eds. Diabetes 1985. Amsterdam: Elsevier, 1986: 31-42. 3 McNally PG, Burden AC, Swift PGF, Walls J, Hearnshaw JR. The prevalence and nsk factors associated with the onset of diabetic nephropathy in juvenile-onset (insulin-dependent) diabetics under the age of 17 years in Leicestershire 1930-1985. QJ Med 1990; 280: 831-44. 4 Hearnshaw JR, McNally PG, Swift PGF, Burden AC. Factors associated with the development of diabetic retinopathy in juvenile onset (
or more years and
retinopathy in 55’ 5 % with diabetes for 15 years or
more.3,4
Hospital admission for children with diabetes often causes confusion because staff unwittingly project conflicting messages. The essential requirements in the first week after diagnosis are msulin given in a sensitive manner and simple, consistent advice from only one or two specialists with experience in diabetes. This can for most children be provided on an outpatient or domiciliary basis by a consultant-led team which is available outside normal working hours by telephone.2 P. G. MCNALLY P. G. F. SWIFT A. C. BURDEN J. R. HEARNSHAW
Diabetic Unit, Leicester
Royal Infirmary,
Leicester LE1 5WW, UK
1. Walker JB. Fieldwork of a diabetic clinic. Lancet 1953; ii: 445-47. 2 Heamshaw JR. Childhood and after-a review of childhood diabetes in an English community 1930-1985. In: Serano-Rios M, Lefebvre PJ, eds. Diabetes 1985. Amsterdam: Elsevier, 1986: 31-42. 3 McNally PG, Burden AC, Swift PGF, Walls J, Hearnshaw JR. The prevalence and nsk factors associated with the onset of diabetic nephropathy in juvenile-onset (insulin-dependent) diabetics under the age of 17 years in Leicestershire 1930-1985. QJ Med 1990; 280: 831-44. 4 Hearnshaw JR, McNally PG, Swift PGF, Burden AC. Factors associated with the development of diabetic retinopathy in juvenile onset (
