Abstract
Two cases of childhood diabetes are presented in which County Child Pro tective Services (CCPS) were re quested to intervene concerning medi cal neglect. The dynamics were quite different, but in both cases the child's diabetes was being neglectfully dealt with by the family. This resulted in one child being seriously emaciated with ascites and liver enlargement. The other child had been hospitalized eight times in the previous eleven months, each time presenting with severe keto acidosis. These cases are appropriate for referral to CCPS. Mismanagement of insulin dependent childhood dia betes may at times be more than "medical" neglect, becoming more like "Munchausen Syndrome by Proxy," or "Polle Syndrome. "

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