This guideline was developed by ISPAD and the International Diabetes Federation. While there is extensive evidence on the optimal management of type 1 diabetes, unfortunately such care is not reaching many people who could benefit.
In 1993, members of International Society for Pediatric and Adolescent Diabetes (ISPAD) formulated the Declaration of Kos, proclaiming their commitment to “promote optimal health, social welfare and quality of life for all children with diabetes around the world by the year 2000.” Although all the aims and ideals of the Declaration of Kos have not been reached by 2000, we feel that slowly, by small steps, the worldwide care of children with diabetes is improving.
ISPAD published its first set of guidelines in 1995 and its second in 2000. Since then, the acceptance of intensive therapy, also for very young children, has increased around the world. Insulin pump usage has risen in all age groups in countries where this treatment modality can be afforded. Intensive therapy requires better and more comprehensive education for it to be successful. The ISPAD Consensus Guidelines 2000 edition has been translated into 11 languages, indicating the need for a truly international document. The 3rd edition of ISPAD´s Consensus Guidelines, now called “Clinical Practice Consensus Guidelines” was released in 2009.