Abstract
Diabetes in a child less than 5 yr old is characterized by unstable glycemic control, frequent and asymptomatic hypoglycemia, and greater risk of severe hypoglycemia. Management of diabetes in young children is complicated by special age-related problems, including difficulties in administering and adjusting small doses of insulin and unpredictable behavior pattern or day-to-day variations in diet and physical activities. The inability of the young child to detect and communicate the symptoms of hypoglycemia could lead to delay in the treatment and contribute to the high risk of severe hypoglycemic episodes at this age. Evidence for neurocognitive and intellectual dysfunction subsequent to recurrent or severe hypoglycemia in early childhood explains the attitude of pediatricians to be prudent and not to attempt too strict metabolic control in children less than 5 yr of age.
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