This program provides families and patients with an understanding of Type 1 diabetes and encourages their confidence in its day-to-day management.
The expectation is that by the time patients are ready to leave home for college or the workforce, they will have the ability to manage their own blood sugars. Present evidence strongly suggests that consistent blood sugar control greatly diminishes the chances of long-term eye and kidney complications.
Our pediatric endocrinologists participate in studies that strive to advance and improve glucose monitoring and closed loop technology by following patients in clinical trials at our Center. Together with the Adult Clinic, the BDC has been a driving force in diabetes care in the development of new technology for insulin delivery systems and blood glucose monitoring with the goal of constantly improving the management of type 1 diabetes (T1DM) in children and improving long term outcomes in patients worldwide.
The Pediatric Clinic offers complete education and support for children and adolescents with all types of diabetes. The Clinic is ADA certified, and our nurses, dietitians, nurse practitioners, physician assistants and social workers are Certified Diabetes Educators.
DKA (diabetic ketoacidosis) Treatment Protocol
New Onset Classes
Newly diagnosed patients are referred to the Barbara Davis Center from all over Colorado, adjacent states and the Rocky Mountain region. They and their families are given intensive and comprehensive individual and group training, care and counseling on a day-to-day basis with the clinical care team members from the Center.
Once a week a half day new onset class is held for newly diagnosed patients and their families.
Newly diagnosed patients continue to be followed intensively with daily contact if need be until the patient and family are comfortable with their care and in good control.
Most patients will eventually be seen routinely four times a year. However, providers and help are available 24 hours a day for changes in regimens, emergencies and illnesses.
All newly diagnosed patients and their families receive a free copy of Understanding Diabetes (the "Pink Panther" book) written by two of our clinicians, Dr. Peter Chase and Dr. David Maahs, available for both purchase and online. The Pink Panther series includes multiple editions, a new Spanish version and a book written especially for very young patients and, as well as a book for new insulin pump users.
Clinical Social Work
Our clinical social workers meet with each new onset family in order to help them adjust to the diagnosis of diabetes. They are available to help families and kids with diabetes related issues at anytime, both during clinic visits and outside of regularly scheduled appointments.
Our dietitians meet with each new onset or new to clinic family to teach them how to adjust diet to insulin delivery. They are also available to all patients during scheduled visits, individual nutrition visits and by telephone.
Pumps and Sensors
The Pediatric Clinic has a comprehensive program for helping patients initiate insulin pump therapy and/or continuance glucose monitoring. Certified trainers are available on site, and all pump and sensors training is done in the outpatient setting. Dr. Peter Chase has published Understanding Insulin Pumps & Continuous Glucose Monitors also available for purchase and online.
The Core Laboratory
The core laboratory at the Center performs studies which include assays of serum levels of islet cell antibody and autoantibodies for associated autoimmune disorders, including celiac and Addison's disease.
These assays can also be performed on patients’ relatives to determine those who are also at risk for developing these diseases. Elevated of specific autoantibodies typically precede clinical development of type 1 diabetes, celiac disease and Addison’s disease.
Early detection of autoimmune diseases such as type 1 diabetes dramatically decreases the risk of early and acute complications and, for diabetes, may delay the onset of exogenous insulin requirements.
Special Courses The Pediatric Clinic encourages opportunities for continuing education, participation in local support groups, special outings and parties arranged by the Guild of the Children’s Diabetes Foundation, and attendance at annual summer camps sponsored by the Colorado American Diabetes Association. Indeed, many of our medical staff members as well as many other employees who have type 1 diabetes themselves volunteer to staff the camps each summer.
In addition to individual family instruction, the Center runs a number of special one-day courses each year. These include the after High School, Grandparents Workshop and "New to Clinic" Workshops. The Clinic also conducts a yearly day-long training education conference in diabetes for school nurses. A national conference for health professionals on childhood diabetes is held every year.