The Journal of the Arkansas Medical Society Issue 2 Vol 115 | Page 11
cused, multidisciplinary care, and education. In
the child who is not symptomatic or significantly
hyperglycemic with a lower A1C (<9%), in whom
Type 1 diabetes can be reliably excluded; it is
acceptable to start an alternate mode of therapy
such as oral medication or to consider a 24-hour
insulin with close follow up with the pediatric
diabetes care provider. These cases should be
discussed with the specialist for management
and dose recommendations. In this situation, the
family must be reliable and have had education
on blood glucose monitoring, insulin administra-
tion (if prescribed), and assessing the urin