Corrections and updates

1. What counts as a correction

A correction means a figure, a threshold, a dose or a medical statement that was wrong or overtaken by the guidelines. These go into the log below.

Typing slips, clumsy wording, style adjustments and translation fixes are made without a record, because they do not change what the reader learns about the disease.

2. What happens after the check

The text is corrected in Romanian and in all 13 translations, on the same day. The page's last-reviewed date changes, and the bibliography is extended if the source is new.

The correction then goes into the log, with the date, the page, the old wording, the new wording and the source. The log starts on September 6, 2026, together with the series of internal audits of the site. Changes made before that date are not recorded.

3. The corrections log

Each entry shows the date, the page, what the text used to say and what it says now. Pages are given by their short address, the same in every language. The guidelines cited belong to the American Diabetes Association (ADA) and the International Society for Pediatric and Adolescent Diabetes (ISPAD).

• September 6, 2026 · dz1/isf — Before: corrections with rapid insulin could be repeated hourly at glucose above 300 mg/dL (16.7 mmol/L). Now: the interval stays at 2–4 hours even at high glucose, following the sick-day protocol agreed with the medical team. Source: Internal patient-safety audit, September 5, 2026.
• September 6, 2026 · dz1/scheme — Before: for a missed mealtime insulin dose the full dose was recommended, with no condition. Now: the full dose can be taken only if you remember within the first hour, following the protocol agreed with the medical team. Source: Internal patient-safety audit, September 5, 2026.
• September 6, 2026 · dz1/sport — Before: ketones were checked at glucose above 300 mg/dL (16.7 mmol/L). Now: the checking threshold is 250 mg/dL (13.9 mmol/L). Source: Riddell MC et al., Lancet Diabetes Endocrinol. 2017;5:377-390 (PMID 28126459).
• September 6, 2026 · 8 pages with the sick-day protocol — Before: the emergency ketone threshold was missing. Now: between 1.5 and 2.9 mmol/L the medical team is contacted immediately, and at 3.0 mmol/L or above the emergency room is the place to go. Source: Glaser N et al., Pediatr Diabetes. 2022;23:835-856 (PMID 36250645).
• September 6, 2026 · dz1/regim — Before: the definition of the alcohol unit mixed two systems of measurement. Now: a single definition, used throughout the page. Source: Internal consistency audit, September 5, 2026.
• September 6, 2026 · five pairs of pages — Before: the same information appeared with two different figures on different pages: the duration of hypoglycemia risk after alcohol, retesting after gestational diabetes, the proportion of remaining beta cells at diagnosis, the amount of juice for treating hypoglycemia and the ketone threshold. Now: the same figure on every page, in all 14 languages. Source: Internal consistency audit, September 5, 2026.
• September 6, 2026 · dz1/isf, dz1/sport, dz1/regim, dz1/scheme, dz1/icr — Before: 21 sentences said in the imperative how much to change your dose, ratio or factor. Now: the same sentences describe usual practice and send the decision to the medical team. No figure changed. Source: Internal patient-safety audit, September 5, 2026.
• September 7, 2026 · dz1/sport — Before: "Aim for a starting glucose of 180 mg/dL (10 mmol/L) for aerobic exercise." Now: "Aim for a starting glucose of 126–180 mg/dL (7-10 mmol/L) for aerobic exercise." Source: Riddell MC et al., Lancet Diabetes Endocrinol. 2017;5:377-390 (PMID 28126459).
• September 7, 2026 · dz1/sport — Before: "Postpone exercise until the ketones disappear completely and glucose reaches 180 mg/dL (10 mmol/L)." Now: "Postpone exercise until ketones are negative (under 0.6 mmol/L) and glucose falls under 250 mg/dL (13.9 mmol/L)." Source: Riddell MC et al., Lancet Diabetes Endocrinol. 2017;5:377-390 (PMID 28126459).
• September 7, 2026 · dz1/injectia — Before: "Most adults can use 6 mm needles without problems. If you are very thin or have very little subcutaneous tissue, you can try 4 mm needles (from children)." Now: "The 4 mm needle is the first choice for everyone, regardless of age, weight or the thickness of the subcutaneous tissue. The 6 mm needle remains acceptable if you use the technique described above." Source: Frid AH et al. (FITTER), Mayo Clin Proc. 2016;91:1231-1255 (PMID 27594187).
• September 7, 2026 · dz1/injectia — Before: "If you decide to reuse needles for economic reasons, limit it to a maximum of 3-4 uses and never more than 24 hours." Now: "If you reuse needles for economic reasons, keep in mind that the tip blunts from the very first use, and each following injection hurts more and traumatizes the tissue more. Do not use the same needle for more than 24 hours." Source: Frid AH et al. (FITTER), Mayo Clin Proc. 2016;91:1231-1255 (PMID 27594187).
• September 7, 2026 · dz1/injectia — Before: "Do not use anesthetic creams as they can affect absorption." Now: "Data on the effect of anesthetic creams on insulin absorption are limited, so talk with your medical team before using them routinely." Source: No guideline supports the ban, and FITTER 2016 does not contain it.
• September 7, 2026 · dz1/debut-cu-cetoacidoza — Before: "Sodium bicarbonate is not given routinely (only at a pH below 7), because it is associated with a higher risk of cerebral edema." Now: "Sodium bicarbonate is not given routinely. It is considered only in severe acidosis with impaired cardiac contractility or in life-threatening hyperkalemia, because giving it is associated with a higher risk of cerebral edema in children." Source: Glaser N et al. (ISPAD), Pediatr Diabetes. 2022;23:835-856 (PMID 36250645).
• September 7, 2026 · dz1/mentinere, dz1/remisie — Before: the sentence was missing. Now: "This is not a guideline target: ADA 2026 recommends 80–130 mg/dL (4.4–7.2 mmol/L) before meals and under 180 mg/dL (10 mmol/L) after meals." Source: ADA, Standards of Care in Diabetes-2026, secțiunea 6 (PMID 41358894).
• September 7, 2026 · dz2/cauze — Before: "and depression also doubles diabetes risk. Interestingly, the onset of diabetes doubles the risk of subsequently developing depression (the effect appears to be bidirectional)." Now: "and depression raises diabetes risk by about 18%. The link runs both ways: the onset of diabetes raises the risk of later depression by about 24%." Source: Graham EA et al., J Affect Disord. 2020;265:224-232 (PMID 32090745). Nouwen A et al., Diabetologia. 2010;53:2480-2486 (PMID 20711716).
• September 7, 2026 · dz1/psihologie — Before: the sentence was missing. Now: "The risk of developing depression is about 2.8 times higher in people with type 1 diabetes than in the general population, with wide differences between studies, which is why periodic screening for depression is recommended." Source: Desalegn D et al., J Autoimmun. 2026;158:103524 (PMID 41538974).