Sir.—In the October 1989 issue of AJDC, Kronz et al1 described a method that would, it is hoped, improve the care given by pediatric residents to their continuity patients with insulin-dependent diabetes mellitus. Although pediatricians treat patients with insulin-dependent diabetes mellitus in their practices, the scope of their role in the management of this chronic illness is debatable.
As noted by the authors, caring for the child with insulin-dependent diabetes mellitus requires the time and commitment of many skilled professionals: physicians, educators, dietitians, psychologists, and social workers. The general pediatrician rarely has access to these personnel in his or her office and therefore the patients and their families may not see all members of the team in a coordinated fashion. Furthermore, the pediatrician rarely has the expertise in these areas to serve as these other professionals would. Additionally, few pediatricians have the time to keep up with recent