回家路的博客

這一生,我們都在走在回家的路上!
個人資料
正文

2014糖尿病指南: Children & Adolescents-Type 2 Diabetes in Children &

(2014-10-22 07:48:11) 下一個
Screening for Type 2 Diabetes and Prediabetes
 
Consider for all children who are overweight* and have ≥2 of any of the following risk factors:
   • Family history of type 2 diabetes in first- or second-degree relative
   • Race/ethnicity†
   • Signs of insulin resistance or conditions associated with insulin resistance‡
   • Maternal history of diabetes or GDM during child’s gestation

Begin testing at age 10 yrs or onset of puberty
Test every 3 yrs
A1C test recommended for diagnosis in children and adolescents
At Diagnosis
   • Perform eye exam
   • Measure risk factors
        o Blood pressure
        o Fasting lipids
        o Albumin excretion
After Diagnosis: Similar screening, treatment as for type 1 diabetes for
    • Hypertension
    • Albumin excretion
    • Dyslipidemia
    • Retinopathy

Other issues that may need to be addressed:
polycystic ovarian disease, other pediatric obesity comorbidities§

Children: age ≤18 yrs
*BMI >85th percentile for age and sex, weight for height >85th percentile, or weight >120% ideal for height
†Native American, African American, Latino, Asian American, Pacific Islander
‡Acanthosis nigricans, hypertension, dyslipidemia, PCOS, or small-for-gestational-age birth weight
§Sleep apnea, hepatic steatosis, orthopedic complications, psychosocial concerns
[ 打印 ]
閱讀 ()評論 (0)
評論
目前還沒有任何評論
登錄後才可評論.