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(Outpatient Management vs In-Hospital Management of Children with New-Onset Diabetes

Department of Pediatrics, Barbara Davis Center for Childhood Diabetes, University of Colorado Health Sciences Center, and The Children's Hospital, Denver, Colorado, Department of Preventive Medicine and Biometrics, University of Colorado Health Sciences Center, and The Children's Hospital, Denver, Colorado

Kent R. Crews, B.S.

Department of Pediatrics, Barbara Davis Center for Childhood Diabetes, University of Colorado Health Sciences Center, and The Children's Hospital, Denver, Colorado, Department of Preventive Medicine and Biometrics, University of Colorado Health Sciences Center, and The Children's Hospital, Denver, Colorado,

Satish Garg, M.D.

Department of Pediatrics, Barbara Davis Center for Childhood Diabetes, University of Colorado Health Sciences Center, and The Children's Hospital, Denver, Colorado, Department of Preventive Medicine and Biometrics, University of Colorado Health Sciences Center, and The Children's Hospital, Denver, Colorado

Michael J. Crews, B.S.

Department of Pediatrics, Barbara Davis Center for Childhood Diabetes, University of Colorado Health Sciences Center, and The Children's Hospital, Denver, Colorado, Department of Preventive Medicine and Biometrics, University of Colorado Health Sciences Center, and The Children's Hospital, Denver, Colorado

Karen J. Cruickshanks, Ph.D.

Department of Pediatrics, Barbara Davis Center for Childhood Diabetes, University of Colorado Health Sciences Center, and The Children's Hospital, Denver, Colorado, Department of Preventive Medicine and Biometrics, University of Colorado Health Sciences Center, and The Children's Hospital, Denver, Colorado

Georgeanna Klingensmith, M.D.

Department of Pediatrics, Barbara Davis Center for Childhood Diabetes, University of Colorado Health Sciences Center, and The Children's Hospital, Denver, Colorado, Department of Preventive Medicine and Biometrics, University of Colorado Health Sciences Center, and The Children's Hospital, Denver, Colorado

Elizabeth Gay, M.A.

Department of Pediatrics, Barbara Davis Center for Childhood Diabetes, University of Colorado Health Sciences Center, and The Children's Hospital, Denver, Colorado, Department of Preventive Medicine and Biometrics, University of Colorado Health Sciences Center, and The Children's Hospital, Denver, Colorado

Richard F. Hamman, M.D., D.P.H.

Department of Pediatrics, Barbara Davis Center for Childhood Diabetes, University of Colorado Health Sciences Center, and The Children's Hospital, Denver, Colorado, Department of Preventive Medicine and Biometrics, University of Colorado Health Sciences Center, and The Children's Hospital, Denver, Colorado

The long-term results of outpatient management of subjects with newly diagnosed insulin-dependent diabetes mellitus (IDDM) are unknown. The longest follow-up described to date is for only one year, a time when most children with IDDM still make endogenous insulin. In this study, 41 young subjects with IDDM, treated and educated in the outpatient setting (1980 to 1984), were compared to a group of 80 similar subjects who received their initial education as hospital inpatients. Long-term glycemic control, as measured by longitudinal glycohemoglobin (HbAI) values was not different in the two groups (p >.05). We conclude that outpatient education and management of newly diagnosed subjects with IDDM is as safe and effective as inpatient treatment.

Clinical Pediatrics, Vol. 31, No. 8, 450-456 (1992)
DOI: 10.1177/000992289203100801


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