You may well wonder why I have combined a talk on diabetes in children and adolescents with one on diabetic microangiopathy when as pediatricians we rarely, if ever, see clinical evidence of the sequelae of vascular disease in our patients. If we see proteinuria in a child, we seek another cause. We may see young teenagers with a microaneurysm or a trace of protein, but we soon refer them to our internist friends who fall heir to the care of problems that doubtless have their beginning in childhood years. Pediatricians are, therefore, concerned about these problems and the adequacy of treatment they are prescribing for their young diabetic patients. There is a recent movement to place considerable emphasis again on strict control of blood glucose as a means of reducing complications of diabetes. In an effort to achieve better control many physicians are placing their patients on two injections a day
