Bone Health Index and bone turnover in pediatric patients with type 1 diabetes mellitus and poor metabolic control.

Background: There is a need for a non-invasive, affordable, and reliable method for bone health screening in pediatric patients at risk.

Objective: To assess Bone Health Index (BHI) in pediatric patients with type 1 diabetes (T1D) and its relation to bone metabolism, age at onset, duration, control, and insulin dose.

Subjects And Methods: Left-hand radiographs were obtained from 65 patients with T1D, mean age 11.

Possibilities and challenges of a large international benchmarking in pediatric diabetology-The SWEET experience.

Aim: Despite the existence of evidence-based guidelines for the care of children with diabetes, widespread gaps in knowledge, attitude, and practice remain. The purpose of this paper is to present a review of benchmarking practices and results of this process within SWEET, moreover focusing on current challenges and future directions.

Methods: Biannually, members electronically transfer de-identified clinic data for 37 parameters to the SWEET database.