Division of Pediatric Endocrinology, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.
American Diabetes Association, Arlington, VA.
Diabetes Care. 2023 Dec 1;46(12):2102-2111. doi: 10.2337/dci23-0083.
Diabetes management in children extends from the home to other settings where children spend a significant portion of their waking hours. For young children (generally, aged <5 years) with diabetes, this includes childcare centers. Given their age and developmental stage, young children require a carefully thought-out, proactive diabetes care plan for the childcare setting, developed jointly by the health care provider and parents/guardians, and implemented by childcare staff. In the U.S., federal laws and some state laws protect the rights of children with diabetes in childcare and other settings to ensure they receive appropriate assistance with the diabetes management and care. This American Diabetes Association (ADA) Statement addresses the legal rights of children in the childcare setting, outlines the current best practices for diabetes care, and provides resources and responsibilities for parents/guardians, childcare providers, and health care providers. The ADA intends for these tools and information to support the health and well-being of young children with diabetes and offer helpful guidance to those caring for them.
儿童糖尿病管理不仅限于家庭,还延伸到儿童大部分清醒时间所在的其他场所。对于患有糖尿病的幼儿(通常为 <5 岁),这包括日托中心。鉴于他们的年龄和发育阶段,幼儿在日托环境中需要制定一个经过深思熟虑、积极主动的糖尿病护理计划,该计划应由医疗保健提供者和父母/监护人共同制定,并由日托工作人员执行。在美国,联邦法律和一些州法律保护有糖尿病儿童在日托和其他场所的权利,以确保他们在糖尿病管理和护理方面得到适当的帮助。这份美国糖尿病协会 (ADA) 声明涉及儿童在日托环境中的法律权利,概述了目前最佳的糖尿病护理实践,并为父母/监护人、日托提供者和医疗保健提供者提供了资源和责任。ADA 希望这些工具和信息能够支持糖尿病幼儿的健康和福祉,并为照顾他们的人提供有益的指导。