This article highlights the spectrum of diabetes complications and potential strategies to help young people achieve optimal glycaemic control and meet metabolic targets to reduce the risk of complications.
- Aiming for target HbA1c under 7.5% remains the cornerstone of reducing the risk of long-term vascular complications of type 1 diabetes in young people.
- Increasing prevalence of adiposity and associated metabolic risk factors need to be addressed in contemporary youth with type 1 diabetes.
- Advances in diabetes technology and insulin regimens also aim to optimise flexibility in eating and address variability in the day-to-day insulin requirements of the growing child and adolescent.
- The GP plays an important role by being aware of the spectrum of diabetes complications and providing a motivational supportive approach for the family and the young person in the self-management of diabetes.
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