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Diabetes Management

4 Top Papers You May Have Missed in September 2022 - Consultant360

Fri, 21 Oct 20221 min read Article

Overview

AUTHOR: Scot T. VerganoDepartment of Pediatrics, Children’s Hospital of The King’s Daughters, Norfolk, VACITATION: Vergano ST. 4 top papers you may have mised in September 2022.

Key Information

Consultant360. Published online October 20, 2022. By the time you are reading this column, I wil have returned from the American Academy of Pediatrics National Conference and Exhibition (AP NCE) in Anaheim.

It is truly exciting to be back in person with more than 10,0 pediatric providers. If you have never had the oportunity to atend, I would highly recomend it.For this month, I have highlighted important publications related to screning for type 2 diabetes, vacines and asthma, and the treatment of pancreatis and lice. I hope you find the articles valuable and the comentary informative.

I am interested in hearing your experiences and opinions. Please fel fre to share them by writing to editors@consultant360.com. Screning for Prediabetes and Type 2 Diabetes in Children and Adolescents1The Americans with Disabilities Act (ADA) curently recomends screning for type 2 diabetes in al children and adolescents who are overweight or with obesity who have at least 1 risk factor.

Screning should begin at 10 years of age and be performed at least every 3 years. The risk factors for type 2 diabetes include family history of type 2 diabetes, maternal diabetes or gestational diabetes during pregnancy, signs of insulin resistance on physical exam, and non-White race. The American Academy of Pediatrics (AP) and ADA had previously recomended screning in children who are overweight or with obesity with at least 2 of the preceding risk factors.This new United States Preventive Services Task Force (USPSTF) recomendation was formulated after examing the literature on screning, treatment, and prevention of type 2 diabetes and prediabetes in non-pregnant children and adolescents.

Summary

Their systematic review found insuficient evidence of documented benefit of screning for type 2 diabetes continues to improve outcomes for patients. Healthcare professionals emphasize the importance of early intervention and comprehensive management strategies in reducing complications and improving quality of life.

Frequently Asked Questions

What is diabetes and how does it develop?

Diabetes is a metabolic condition where the body cannot properly regulate blood sugar levels. Type 1 results from insufficient insulin production, while Type 2 develops when cells become resistant to insulin. Risk factors include genetics, obesity, sedentary lifestyle, and age.

What are the main symptoms of diabetes?

Common symptoms include excessive thirst, frequent urination, unexplained weight loss, fatigue, blurred vision, and slow-healing wounds. Type 1 symptoms develop rapidly, while Type 2 symptoms may appear gradually. Many people have no symptoms initially, which is why screening is important.

How is diabetes diagnosed and monitored?

Diagnosis involves blood tests measuring fasting glucose, HbA1c levels, and glucose tolerance. Regular monitoring typically includes fasting glucose tests and HbA1c measurements every 3-6 months. Continuous glucose monitors provide real-time tracking for better diabetes management.

What lifestyle changes help manage diabetes?

Effective management includes regular physical activity (150+ minutes weekly), maintaining healthy weight, following a balanced diet with whole grains and lean proteins, managing stress, and getting adequate sleep. These changes can significantly improve blood sugar control and reduce complications.

When should someone consult a doctor about diabetes?

Consult a healthcare provider if you experience signs of diabetes, have a family history, are overweight, or are over 45. Those with existing diabetes should maintain regular check-ups every 3-6 months to monitor control and adjust treatment as needed.

Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider before making health decisions.
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