University of Illinois Extension

Monitoring

Monitoring youth with type 1 diabetes is similar to monitoring adults with the condition. What should be monitored and how often?

  • Protein in the Urine (microalbuminuria)
    • Begin testing once the child is 10 years old and has had diabetes for 5 years.
  • High Blood Pressure
    • Treat if systolic or diastolic blood pressure is consistently above the 90% percentile for age, sex, and height.
    • Monitoring and treatment for high blood pressure include weight control through diet changes in increased physical activity if tolerated.
    • Medication treatment should be initiated if target blood pressure is not reached within 3-6 months.
    • For more information, visit the National Heart, Lung and Blood Institute website at http://www.nhlbi.nih.gov/health/prof/heart/hbp/hbp_ped.htm
  • Blood Lipid Disorders
    • If there is a family history of abnormal blood lipids or cardiovascular event before 55 years of age:
      • Fasting lipid profile for children at least 2 years old once blood glucose is under control
    • If there is no family history of abnormal blood lipids:
      • Fasting lipid profile for children at puberty or around 10 years of age
    • Monitor annually if blood lipids are abnormal or every 5 years if blood lipids are within the normal range.
  • Eye Health
    • The first eye exam should be obtained once the child is 10 years old and has had diabetes for 3-5 years.
  • Related conditions
    • Children with type 1 diabetes should be screened soon for celiac disease and thyroid disorders soon after being diagnosed with diabetes.