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managed. Patients with type 1 diabetes have an absolute requirement for exogenous insulin for survival. Therefore, it is essential that

diabetes mellitus. Neuroimaging classically demonstrates cerebral edema in a nonvascular distribution (Fig. 35.1) during acute “stroke-like” episodes. While management

diabetes mellitus. Neuroimaging classically demonstrates cerebral edema in a nonvascular distribution (Fig. 35.1) during acute “stroke-like” episodes. While management

diabetes mellitus. Neuroimaging classically demonstrates cerebral edema in a nonvascular distribution (Fig. 35.1) during acute “stroke-like” episodes. While management

Diabetes, corticosteroid use, and age are factors that increase the likelihood of requiring insulin during HPN therapy.22 Blood glucose can be controlled by decreasing the dextrose content and increasing the lipid content, adding insulin to the PN formula, or lengthening the infusion period.23 Monitoring blood glucose to manage

manage infections and sepsis. Promote proper venous catheter care to avoid catheter-related infections. 77Intestinal rehabilitation (may decrease risk) Minimize PN dependency by optimizing nutrient absorption through pharmacology and dietary interventions to increase intestinal absorptive capacity. Medications Eliminate hepatotoxic medications. Other Consider evaluating for non-PN etiologies, such as hepatitis

diabetes, small- for-gestational-age infants, first pregnancy, advanced maternal age, and genetic factors.Page 82Page 83Page 84 Clinical Red Flags • Early hand preference and asymmetric reaching before 3 years of age raise concern for hemiparesis. • Many perinatal cerebrovascular accidents occur in the absence of antenatal risk factors and are asymptomatic

diabetes, small- for-gestational-age infants, first pregnancy, advanced maternal age, and genetic factors.Page 82Page 83Page 84 Clinical Red Flags • Early hand preference and asymmetric reaching before 3 years of age raise concern for hemiparesis. • Many perinatal cerebrovascular accidents occur in the absence of antenatal risk factors and are asymptomatic

diabetes, small- for-gestational-age infants, first pregnancy, advanced maternal age, and genetic factors.Page 82Page 83Page 84 Clinical Red Flags • Early hand preference and asymmetric reaching before 3 years of age raise concern for hemiparesis. • Many perinatal cerebrovascular accidents occur in the absence of antenatal risk factors and are asymptomatic

diabetes during adolescence and its recurrence in the setting of infection. J Child Neurol. 2015;30(10):1362–1365. Athanasopoulos E, Kalaitzidou I, Vlachaki G, Stefanaki S, Tzagkaraki A, Niotakis G, Tritou I, Ladomenou F. Chorea revealing systemic lupus erythematosus in a 13-year old boy: a case report