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