The International Society for Pediatric and Adolescent Diabetes (ISPAD) released comprehensive guidelines in 1995, 2000 and 2009. Using these guidelines, the International Diabetes Federation (IDF) and ISPAD published the "Global Guideline for Diabetes in Children and Adolescence" in 2011.
The IDF Life for a Child Programme and ISPAD decided it was appropriate to develop a shortened version of these guidelines aimed to be of practical use in emergency situations and in clinics that are developing expertise in managing diabetes in children. The Pocketbook provides basic background on diabetes in children and clear advice for initial management of diabetic ketoacidosis, initiation of maintenance insulin therapy, complications screening, and other key components of care.
The guidelines have been developed taking into account resource- and cost-related issues affecting care for children and youth with diabetes in developing countries. Healthcare funding and available expertise vary from country to country and also within a particular country, and therefore it is challenging to write a broad document to meet all needs.
The information in these guidelines is aimed to assist healthcare professionals in developing countries to optimise the clinical practice they are able to give in their particular centre. In many cases, subsequent referral to a centre with greater expertise is appropriate.