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Diabetes Mellitus, Type 2, Pediatric

Wendy J. Brickman, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

Type 2 diabetes mellitus (T2DM) refers to abnormalities in glucose homeostasis characterized by insulin resistance and relative defects in insulin secretion. T2DM is often associated...

DIAGNOSIS

T2DM usually presents in setting of the following: 
  • Family history of T2DM

  • Overweight or obesity

  • Other abnormalities associated with insulin resistance (i.e., acanthosis nigricans, polycystic o...

TREATMENT

  • See also “Diabetic Ketoacidosis” chapter for treatment of DKA.

  • Goals of treatment:

    • HgbA1c in target range per American Diabetes Association (ADA) and International Society for Pediatric and Ad...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Blood glucose monitoring

    • Metformin monotherapy:

      • Consider fasting and bedtime.

      • Increase when ill, changing dose, concern for low or high glucose.

      • Decrease when stable,...

ADDITIONAL READING

  • American Diabetes Association. Standards of medical care in diabetes—2014. Diabetes Care.  2014;37(Suppl 1):S14–S80. doi:10.2337/dc14-S014. [View Abstract on OvidInsights]

  • Copel...

CODES

ICD9

  • 250.00 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled

  • V18.0 Family history of diabetes mellitus

  • 250.70 Diabetes with peripheral circ...

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