The NICE guidelines have been altered for coeliac
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 t
his has been crossed out in the guideline... the crossing out hasn't survived the cut and paste.
• 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
• blood pressure annualy from the age of 12 years.
1.3.5.2 Routine screening for elevated blood lipid levels and/or
neurological function is not recommended for children
and young people with type 1 diabetes.
Children and young people with type 1 diabetes should
be offered:
• annual foot care reviews
• investigation of the state of injection sites at each
clinic visit.
1.3.5.4 Children and young people with type 1 diabetes and their
families should be informed that, as for other children,
regular dental examinations
*
and eye examinations
(every 2 years) are recommended. (thats normal eye checks not retinal)
p221 ff of this document lists the evidence that they use to come to these recommendations. (it is just a list of studies and the brief findings of each)
http://www.nice.org.uk/nicemedia/live/1 ... /29395.pdf
Its interesting though that the 3 yearly coeliac testing requirement has been removed (know indication why) There is no mention of liver function tests