Padhi rajesh kumar

• Over 15 years of experience in the field of Nephrology.
• Currently serving as a Consultant at Kalinga Hospital Ltd., Bhubaneswar.

8 years of research experience in areas including: Renal Transplant Pediatric Nephrology Chronic Kidney Disease Nephrotic Syndrome Continuous Ambulatory Peritoneal Dialysis (CAPD) Diabetic Nephropathy

• J.P. Memorial Gold Medal for Medicine & Surgery from Sambalpur University.
• Participation in the National Neonatology Forum (NNF) Quiz.
• Served as research staff in the "Assessment of Injection Practices in India" project, supported by the Ministry of Health & Family Welfare, Government of India, and the World Bank.

Many teenagers and youths with type 1 diabetes (T1D) do not meet their haemoglobin A1c (HbA1c) goals. In India, the average HbA1c of young people is greater than in much of the industrialised world. Other countries' mean HbA1c levels have been effectively changed using benchmarking and quality improvement techniques. We present the revolutionary 4T strategy to diabetes care in kids with new-onset T1D in this review, which includes teamwork, targets, technology, and tight control.The diabetes care team (physicians, nurse practitioners, certified diabetes educators, dieticians, social workers, psychologists, and exercise physiologists) collaborate closely in this approach to provide diabetes education beginning with diagnosis. Early integration of technology, notably continuous glucose monitoring (CGM), and establishing a curriculum around using the CGM to maintain tight control and maximisethe quality of life are both parts of the education curriculum.