Recommendations for self-monitoring in pediatric diabetes: A consensus statement by the ISPED

Andrea Scaramuzza, Valentino Cherubini, Stefano Tumini, Riccardo Bonfanti, Pietro Buono, Francesca Cardella, Giuseppe D'Annunzio, Anna Paola Frongia, Fortunato Lombardo, Anna Carla Maria Monciotti, Ivana Rabbone, Riccardo Schiaffini, Sonia Toni, Stefano Zucchini, Giulio Frontino, Dario Iafusco

Research output: Contribution to journalArticlepeer-review


A panel of experts of the Italian Society of Pediatric Endocrinology and Diabetology comprehensively discussed and approved the Italian recommendations regarding self-monitoring of blood glucose, continuous glucose monitoring and other measures of glycemic control in children and adolescents with type 1 diabetes. After an extensive review of the literature, we took these issues into account: self-monitoring blood glucose, continuous glucose monitoring, glycemic variability, glycosuria, ketonuria, ketonemia, glycated hemoglobin, fructosamine and glycated albumin, logbook, data downloading, lancing devices, carbohydrate counting, and glycemic measurements at school. We concluded that clinical guidelines on self-management should be developed in every country with faithful adaptation to local languages and taking into account specific contexts and local peculiarities, without any substantial modifications to the international recommendations. We believe that the National Health Service should provide all necessary resources to ensure self-monitoring of blood glucose and possibly continuous glucose monitoring of all children and adolescents with type 1 diabetes, according to the standards of care provided by these recommendations and internationally.

Original languageEnglish
Pages (from-to)173-184
Number of pages12
JournalActa Diabetologica
Issue number2
Publication statusPublished - 2014


  • Children
  • Continuous glucose monitoring
  • Glycemic variability
  • Self-management
  • Self-monitoring blood glucose
  • Type 1 diabetes mellitus

ASJC Scopus subject areas

  • Endocrinology
  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism


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