The annual audit, published by the Royal College of Paediatrics and Child Health, also shows that although the quality of care is improving it varies across the country, with children living in the most deprived parts of England and Wales having poorer diabetes control.
Some children are also showing early signs of serious health problems.
Nearly one in five of children who have type 1 diabetes and are under 11 are considered obese. This rises to one in four for children aged 12 and over.
More than a quarter of children and young people with type 1 diabetes have high blood pressure.
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