Clinical practice guideline : management of newly diagnosed type 2 diabetes mellitus (T2DM) in children and adolescents

Source:
American Academy of Pediatrics
Publisher:
American Academy of Pediatrics
Publication date:
28 January 2013

Abstract

Copeland KC, Silverstein J, Moore KR et al. (2013) Management of newly diagnosed type 2 diabetes mellitus (T2DM) in children and adolescents. Pediatrics 2:  364 -382

This guideline from the American Academy of Pediatrics provides evidence-based recommendations on managing 10- to 18-year-old patients in whom T2DM has been diagnosed. It emphasises the use of management modalities that have been shown to affect clinical outcomes in this pediatric population. Recommendations are made for situations in which either insulin or metformin is the preferred first-line treatment. The recommendations suggest integrating lifestyle modifications (ie, diet and exercise) in concert with medication rather than as an isolated initial treatment approach. Guidelines for frequency of monitoring haemoglobin A1c (HbA1c) and finger-stick blood glucose (BG) concentrations are presented. The guideline is not intended to replace clinical judgment or establish a protocol for the care of all children with T2DM, and its recommendations may not provide the only appropriate approach for  the management of children with T2DM.