Abstract
Successful treatment of Type 1 insulin dependent deabetes (IDDM) may be of particular importance during adolescence for the achievement of normal growth and sexual maturation and to reduce the risk of long term micro-vascular complications. Yet it is during adolescence that a deterioration in glycaemic control, as judged by serial glycosylated haemoglobin (HbA1) concetrations, is most often encountered. The reasons behind this deterioration in glycaemic control are complex and include both psychological and physiological factors. This article will concentrate on four areas which encompass many of the problems and controversies surrounding the care of adolescents with diabetes.
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