What is an appropriate treatment plan for an eight year old with type 1 diabetes diagnosed about eight months ago? She is doing finger sticks twice daily, and lives in a small village in Nicaragua with limited health care and understanding of the disease. Is there educational material in Spanish to be shared by family and staff?

Yes, there is quite a bit of material available in Spanish. Start with Publicaciones sobre la Diabetes en Espa�ol at http://www.niddk.nih.gov/health/diabetes/diabetes.htm#spanish. Then, see Preg�ntale a NOAH sobre la diabetes at http://www.noah.cuny.edu/sp/illness/diabetes/spdiabetes.html. In addition, please see my On-line Diabetes Resources Part 9: Non-English Web Sites at http://www.mendosa.com/nonengl.htm if those two sites don’t give you what you need.

DM

[Editor’s comment: It is difficult to comment on the treatment plan since you do not mention what else (e.g. insulin, meal planning, other medications) is included. Checking twice day seems reasonable given her circumstances.

SS]