Type 1 diabetes makes up approximately 95% of childhood diabetes, and the incidence is increasing in children aged < 5 years.
The initial presentation in approximately 25% of cases will be diabetic ketoacidosis (hyperglycaemia, metabolic acidosis, and ketonaemia) of which approximately 79% initially see their general practitioner.
Type 2 diabetes is growing with the increased incidence in obesity.
It is difficult to diagnose in preschool and younger children, as the typical symptoms may not be present or communicated.
Children who have established diabetes are managed by specialised diabetic services.