Management Guidelines for Childhood Type 2 Diabetes Mellitus

Guidelines for primary care management, including use of insulin, metformin, finger-stick blood glucose and HbA_1c monitoring, and lifestyle modification

Sponsoring Organization:

The American Academy of Pediatrics (AAP) Subcommittee on Management of T2DM in Children and Adolescents

Target Population:

Primary care clinicians

Key Points:

The prevalence of type 2 diabetes mellitus (T2DM) in youth is increasing, but the evidence base informing management in this population is not robust. Several professional groups collaborated to review existing evidence (from 1990–2008), including extrapolations from studies of T2DM in adults and T1DM in children, to develop an evidence-based clinical practice guideline for management of newly diagnosed T2DM in 10- to 18-year-olds. The guideline's key action statements for clinicians are:

Initiate insulin therapy in children and adolescents with diabetes and ketosis…

Reviewing Author

Cornelius W. Van Niel, MD

Disclosures

EquityMedtronic; Express Scripts; Johnson & Johnson; Merck