Over the last decade, diagnosis and treatment of endocrine disorders and diabetes in Pediatrics have significantly improved. The progress in genetic testing, drug development and the availability of new therapies are giving invaluable support to physicians and as a result the job of pediatric endocrinologists and diabetologists has changed.
Despite modern medicine increasingly becoming evidence based, clinicians still face clinical problems without a straightforward solution. Consensus statements and guidelines papers support most diagnostic flow-charts and therapeutic decisions, but not all possible situations can be solved in this way. Some questions such as “And now? How can I treat this patient?, What is the best therapeutic approach in this situation?” still come across the mind of pediatricians during daily clinical practice.
Scientific literature is always the most appropriate place for the repository and sharing of data, and we are convinced that it should provide answers for clinical practice and moreover, for such clinical questions.
Prompted by these considerations, we would like to focus this Research Topic on how to manage clinical problems still on debate in endocrine disorders and diabetes in children and adolescents. We aim for this Research Topic to become a supportive tool for clinicians in the management of these clinical issues, that are still debated today..
This Research Topic entitled “Debates in Clinical Management in Pediatric Endocrinology” is welcoming manuscripts in the format of research papers, case reports, and reviews. Manuscripts should focus on the debates in the management of diagnosis or treatment in endocrine disorders, diabetes, and diabetes related disorders in children and adolescents.
A special attention will be given to these topics:
• Sex determination and management in patients with DSD
• Hyperthyroidism management
• Insulin resistance and obesity treatment
• Sub-clinical hypothyroidism treatment
• Fetal programming
• Testing patients with delayed puberty
• Micro- and macrovascular complications in type 1 diabetes
• Fertility preservation in cancer patients
• The role of technology in the management of type 1 diabetes
• Adjunctive therapies for the treatment of type 1 diabetes
This collection is the second volume of Debates in Clinical Management in Pediatric Endocrinology