ABSTRACT

The microvascular complications of diabetes, retinopathy, nephropathy, and neuropathy cause significant morbidity and mortality in childhood onset diabetes. In the 1980s, interventions to reduce the risk of blindness and renal failure due to diabetes were established, specifically laser therapy and antihypertensive therapy. Because these treatments are most successful prior to the onset of symptoms, the advent of screening programs for diabetes complications has occurred. One such comprehensive screening program was introduced for adolescents at the Children’s Hospital at Westmead (CHW), Sydney, Australia, in 1990.