Screening, assessment and management of type 2 diabetes mellitus in children and adolescents: Australasian Paediatric Endocrine Group guidelines.
Alexia S PeñaJacqueline A CurranMichelle FueryCatherine GeorgeCraig A JefferiesKristine LobleyKarissa LudwigAnn M MaguireEmily PapadimosAimee PetersFiona SellarsProf Jane SpeightAngela TitmussDyanne WilsonJencia WongCaroline WorthRachana DahiyaPublished in: The Medical journal of Australia (2020)
Published international guidelines currently exist, but the challenges and specifics to care for children and adolescents with type 2 diabetes which should apply to Australasia have not been addressed to date. These include: recommendations regarding care of children and adolescents from Indigenous backgrounds in Australia and New Zealand including screening and management; tighter diabetes targets (glycated haemoglobin, ≤ 48 mmol/mol [≤ 6.5%]) for all children and adolescents; considering the use of newer medications approved for adults with type 2 diabetes under the guidance of a paediatric endocrinologist; and the need to transition adolescents with type 2 diabetes to a diabetes multidisciplinary care team including an adult endocrinologist for their ongoing care.
Keyphrases
- palliative care
- quality improvement
- healthcare
- type diabetes
- cardiovascular disease
- intensive care unit
- emergency department
- pain management
- clinical practice
- young adults
- physical activity
- randomized controlled trial
- glycemic control
- skeletal muscle
- metabolic syndrome
- weight loss
- insulin resistance
- health insurance