Diabetes management: Current requirements for self‑monitoring in pediatric practice

Abstract

Introduction . The most relevant clinical guideline proposed by the International Society for Pediatric and Adolescent Diabetes (ISPAD, last revised 2025) is self-management, which aims to improve the effectiveness of therapeutic strategies. Evaluating the dynamics of these indicators facilitates the recognition of critical conditions and their timely management. Aim . To present current information on innovative methods for managing type 1 diabetes in children to optimize disease management in pediatric outpatient practice. Materials and methods . The information presented is based on an analysis of relevant scientific publications on the topic, covering the past five years, allowing us to reflect the current state of the issue and the evolution of approaches. This article primarily utilizes sources published between 2021 and 2025, ensuring that the issue is considered in the context of the latest evidencebased medicine. The issue of the main provisions for the management of type 1 diabetes in pediatric practice, screening and early diagnosis of type 1 diabetes, regular glycemic monitoring, including data on the capabilities of modern glucometers, was studied. Conclusions . Diabetes management in children today requires a system for organizing life, where the disease is not an obstacle to achieving goals, but simply adds additional tasks to each day. Modern medicine helps successfully address the needs of children and families, who can and should learn to manage the complexities of this life, utilize modern technologies, and believe that the disease is not a death sentence.