This is an important question.In most cases children with diabetes upon entering puberty will have the Type 1 form of diabetes requiring insulin treatment. The better the control of diabetes the less the chances of any problems occurring with sexual development at puberty.When diabetes is not well controlled in adolescents there is a greater chance of a delay in the onset of puberty especially in boys.Delayed onset of puberty refers to a lack of enlargement of the testicles by the age of 14 years and the absence of pubic hair by the age of 15 years.There may also be a temporary delay in the growth of the sex organs.During adolescence there is a need for more insulin and the control of diabetes may become more difficult. It is important to ensure that the adolescent diabetic injects insulin as prescibed. Psychological stress may become a factor causing additional problems for youngsters with diabetes.In some cases where puberty is very delayed hormonal treatment may become necessary. This should only be done under the care of a paediatric endocrinologist.
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