This has now switched to a more preventive based health care, particularly relating to chronic diseases. It is the experience of our Clinic and of other large diabetes clinics in the U.S. that if regular visits do not occur, diabetes monitoring and knowledge become lax. In addition, it is very important to check the eyes and perform the remainder of the physical examination at regular intervals. The earlier such eye problems are detected and treated, the greater the chance for saving vision. In addition, with children, growth should be occurring.
Many physicians believe that good diabetes control is one of the best means of assuring good growth.
We feel that every three months is a good interval for checking the gain in height and weight. Other parts of the physical exam, such as the thyroid size, liver size, and the injection sites are also important to check at regular intervals. In summary, the best management occurs with the family and team working together. Although every three months seems to be an average best time to return to the clinic, there are obviously some situations where more frequent visits are important.