If one were to conduct a survey of 100 top pediatric endocrinologists in the United States regarding their approach to the management of congenital virilizing adrenal hyperplasia in children, the responses would likely differ little among the endocrinologists. Such intradisciplinary harmony would not be evident regarding management of diabetes mellitus because no one knows how to manage the disease satisfactorily. The fundamental inadequacy of our treatments has led to a wide variety of approaches, each with its champion who is firmly convinced that his or her approach is best. Regardless of the reason, the end result is something close to chaos when unsuspecting patients with diabetes change physicians.
Clinical Management of the Child and Teenager With Diabetes. Arch Pediatr Adolesc Med. 1999;153(10):1109. doi:
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