CG15 Type 1 diabetes in children and young people: quick reference guide

We have updated our guidance on screening for other conditions in children and young people with type 1 diabetes (pages 3 and 5); we have removed the recommendation to re-test for coeliac disease at least every 3 years after diagnosis. This update follows the development of ‘Coeliac disease: recognition and assessment of coeliac disease’ (NICE clinical guideline 86, 2009).

The changes are as follows, and are shown in the document as greyed out text.

Page 3

Children and young people with type 1 diabetes should be offered screening for:

• coeliac disease at diagnosis
• and at least every 3 years thereafter until transfer to adult services
• thyroid disease at diagnosis and annually thereafter until transfer to adult services
• retinopathy annually from the age of 12 years
• microalbuminuria annually from the age of 12 years.

Should now read

Children and young people with type 1 diabetes should be offered screening for:

• coeliac disease at diagnosis
• thyroid disease at diagnosis and annually thereafter until transfer to adult services
• retinopathy annually from the age of 12 years
• microalbuminuria annually from the age of 12 years.

Page 5 Ongoing care

The column ‘Every 3 years’ should be deleted.