The case presentation is about a diabetic child presenting to the paediatric endocrinology clinic with a history of multiple admissions and DKAs, and an uncontrolled BG profile. The usual MD care takes place and during one of the admissions, the child confides in the psychologist about a history of physical and verbal abuse by the mother happening since many years. Wishes of confidentiality expressed by the child and the ethical concerns come forward to the clinical scene and require MD meetings with social work and legal teams. A decision to report the concern of physical and verbal abuse to the Child Protection Services is taken. The stakes of reporting were discussed, along with the medical, psychological, social, legal and ethical aspects of this clinical presentation. Also the effects of reporting on the care relationship were discussed as well as the effects of physical abuse on diabetes care and the child’s psychological and physical development debated. The MD teams’ spectrum was discussed.’
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