Recommended Assessments for Type 1 Diabetes
As identified in the 2012 ADA Standards of Diabetes Care*

ü Check if completed within past year at recommended frequency

Frequency of completion

History

c    

Medications and comorbidities

Quarterly

c    

Changes to diabetes regimen  including dose updates

Quarterly

c    

Review of blood glucose values

Quarterly

c    

Review of insulin administration records

Quarterly

Physical Examination

c    

Measures of blood pressure recorded 

Quarterly

c    

Height, weight, and BMI measured and plotted on growth chart

Quarterly

c    

Examination documenting presence or absence of lipohypertrophy and lipoatrophy

Quarterly

Laboratory

c    

HbA1c values

Quarterly

c    

Spot urine microalbumin:creatinine ratio or albumin excretion rates in children ≥10 years of age or younger with hypertension

Annually or more frequently if previous results were abnormal

c    

Lipids

Annually or more frequently if previous results were abnormal

c    

Celiac screening

Initially at diagnosis or when clinically indicated by changes in history or physical examination

c    

TSH screening

At diagnosis and annually, or when clinically indicated—eg, if thyroid is enlarged or thyroid antibodies are present

Treatment

c    

Ophthalmologic referral for children ≥10 years of age and diabetes duration >3 to 5 years

Annually

c    

Recommend/provide inactivated influenza vaccine for children
 ≥6 months of age

Annually

c    

Nutrition consultation

Annually

^*Also see ISPAD Clinical Practice Consensus Guidelines, another source of consensus guidelines on the medical management of pediatric diabetes, which may differ slightly in its recommendations.