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The obesity epidemic has led to an increase in the number of children and adolescents who are diagnosed with type 2 diabetes. After an exhaustive systematic review of the literature, the U.K. National Institute for Health and Clinical Excellence has released a practice guideline. Highlights relevant to adolescents are as follows:
A newly diagnosed patient should be offered self-monitoring of plasma glucose only as part of a comprehensive management plan that includes nutritional advice.
Glycosylated hemoglobin (HbA1c) target levels should be selected with each patient and can be above 6.5%.
HbA1c levels should be checked every 2 to 6 months during therapy until blood glucose levels are stable.
Monitoring blood pressure and controlling hypertens…