Dialogue Volume 11 Issue 1 2015 | Page 9

letters to the editor Dear Editor: Re: Use screening guidelines to detect significant hypoglycemia in infants (Volume 10, Issue 3, 2014) We recently read your article on the importance of recognizing hypoglycemia in infants. This article prompted us to think about the other end of the spectrum—that is unrecognized or delayed recognition of hyperglycemia/diabetes in pediatric patients. Unlike adult patients, in whom type 2 diabetes predominates and is usually gradual in onset, the majority of new-onset diabetes in previously healthy pediatric patients is type 1. Lack of early recognition and prompt managemen Ё