Complications start in childhood

It used to be said that only diabetes after puberty 'counted' towards the development of diabetic tissue damage. This is untrue. In fact, children as young as 10 years old can develop retinopathy. Patients whose Type 1 diabetes began in childhood are much more likely to have proteinuria than those diagnosed as adults but with similar duration (Allagoa et al. 2001). We have to improve diabetes care in children and teenagers—failure to do so may seriously impair quality and quantity of life.

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