Elicit a smoking history Citation #56 (Chapter at initial and follow-up 11) diabetes visits and discourage smoking in youth who do not smoke and encourage smoking cessation in those who do smoke. B Annual screening for Citation #57 (Chapter albuminuria with a 11) random spot urine sample for ratio should be considered once the child has had diabetes for 5 years. B Estimate glomerular Citation #58 (Chapter filtration rate at initial 11) evaluation and then based on age, diabetes duration, and treatment. E Treatment with an ACE Only small studies (no Citation #59 (Chapter inhibitor, titrated to RCT). 11) normalization of Consider changing albumin excretion, recommendation to C should be considered (or E) . when elevated urinary albumin–to–creatinine ratio (>30 mg/g) is documented with at least two of three urine samples. These should be obtained over a interval following efforts to improve glycemic control and normalize blood pressure. An initial dilated and Citation #60 (Chapter comprehensive eye 11) examination is recommended at age 10 years or after puberty has started, whichever is earlier, once the youth has had
Elicit a smoking history at initial and follow-up diabetes visits and discourage smoking in youth who do not smoke and encourage smoking cessation in those who do smoke. B Citation #56 (Chapter 11) Annual screening for albuminuria with a random spot urine sample for ratio should be considered once the child has had diabetes for 5 years. B Citation #57 (Chapter 11) Estimate glomerular filtration rate at initial evaluation and then based on age, diabetes duration, and treatment. E Citation #58 (Chapter 11) Treatment with an ACE inhibitor, titrated to normalization of albumin excretion, should be considered when elevated urinary albumin–to–creatinine ratio (>30 mg/g) is documented with at least two of three urine samples. These should be obtained over a interval following efforts to improve glycemic control and normalize blood pressure. Only small studies (no RCT). Consider changing recommendation to C (or E) Citation #59 (Chapter 11) . An initial dilated and comprehensive eye examination is recommended at age 10 years or after puberty has started, whichever is earlier, once the youth has had Citation #60 (Chapter 11)
2017_evidence_table_master_0.docx