We monitor for the development of associated conditions such as thyroid problems or celiac disease which are much more common than in the general population. These, and other conditions are also due to the immune system mistakenly attacking the body. In the long run, diabetes may affect your health in a number of ways. The most important measure in children is a test called HbA1c. We advise measuring this at least four times a year. HbA1c is an indirect measure of blood glucose over several weeks. High levels of HbA1c strongly predict future complications of diabetes. In addition to HbA1c, we monitor growth, blood pressure, urine protein levels [a marker of diabetic kidney disease], cholesterol and other labs. This way, if complications do occur, we can identify them at an early stage and treat them appropriately.