Young people with diabetes have excellent control, but may not receive all essential health checks
The annual report was produced by the Royal College of Paediatrics and Child Health
NICE guidelines state that all children with diabetes should have their HbA1c levels checked and those over the age of 12 should have six other regular health care checks performed annually. These include measures of growth, blood pressure, kidney function, cholesterol, eye screening and foot examination.
However, the report raised concern that not all health checks were being made, with just 25.4% of 12-year-olds having all seven recommended healthcare checks.
Nearly two thirds (64.9%) of young people with diabetes over the age of 12 had their eyes screened during the year, while just over half (52.4%) received checks to test for kidney damage.
The report findings added that 11.6% of young people were at an increased risk of kidney disease and 13.2% at increased risk of blindness. Children with type 1 diabetes were also more likely to be overweight or obese compared to the general population.
Continuing the trend of the previous year’s report, a worryingly high number of children over the age of 12 were already showing signs of early complications.
Dr Justin Warner, said: “Regardless of postcode, children should receive the same high level of diabetes care. So whilst completion rates for individual care processes such as HbA1c have improved, it is completely unacceptable that the same high standard isn’t reached with the six other care processes that need to be recorded.
In addition to the recording of seven health checks, NICE guidelines also recommend that an assessment for psychological risk and screening for thyroid and coeliac disease are recorded.
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