Researchers also found only 60 per cent of trusts had initial assessments for paediatric diabetes in place, and just over half had them for transferring children to adult care.
Bottom of the league was London, where only a quarter of trusts had produced either set of guidelines, compared to 70 per cent in the East Midlands.
However, there was a significant increase in the number of trusts with early identification programmes in the past year, from 31 to 52 per cent.
Phil Davies, a care adviser at Diabetes UK, said the delay in implementing plans was partly due to the lack of specific targets and dates for children's services and protocols within the diabetes national service framework.
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