Medical Neglect in Children and Adolescents with Diabetes Mellitus

  • Larry A. Fox
  • Erin Pfeffer
  • Jennifer Stockman
  • Sandra Shapiro
  • Kathleen Dully
Treatment Approach


Diabetes mellitus was a fatal disease for thousands of years, but the discovery of insulin in 1921 and major substantial improvements in care have made living with diabetes a chronic rather than fatal disease for many people, including children and adolescents. Diabetes mellitus is a lifestyle-altering diagnosis for the entire family. In some families, children and adolescents do not get the daily care they depend upon. This article reviews the consequences of medical neglect of children with diabetes and the optimal community response to concerns of medical neglect of diabetes. Criteria for placement in foster or substitute care are suggested.


Diabetes Adherence Neglect Hyperglycemia Hemoglobin A1c Foster care Children Adolescents 


Compliance with Ethical Standards

Conflict of Interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Larry A. Fox
    • 1
    • 2
  • Erin Pfeffer
    • 2
  • Jennifer Stockman
    • 3
  • Sandra Shapiro
    • 4
  • Kathleen Dully
    • 4
  1. 1.Northeast Florida Pediatric Diabetes CenterJacksonvilleUSA
  2. 2.Division of Endocrinology, Metabolism and DiabetesNemours Children’s Health SystemJacksonvilleUSA
  3. 3.Family Support Services of North FloridaJacksonvilleUSA
  4. 4.Division of Forensic Pediatrics, First Coast Child Protection TeamUniversity of Florida College of MedicineJacksonvilleUSA

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