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ISPAD Clinical Practice Consensus Guidelines 2024: Type 2 Diabetes in Children and Adolescents
Amy S Shah1, Margarita Barrientos-Pérez2, Nancy Chang3
1Division of Endocrinology, Cincinnati Children's Hospital Medical Center and the University of Cincinnati, Cincinnati, Ohio, USA.
Recent advances in managing youth-onset type 2 diabetes (T2D) are summarized, building on 2022 guidelines. This includes updated diagnostic and treatment strategies for children and adolescents with T2D.
Area of Science:
- Pediatrics
- Endocrinology
- Metabolic Disorders
Background:
- Youth-onset type 2 diabetes (T2D) has complex, individualized causes.
- Management strategies require continuous updates based on emerging research.
Purpose of the Study:
- To summarize recent advancements in T2D management for pediatric populations.
- To update clinical practice based on the 2022 ISPAD guidelines.
Main Methods:
- Review of recent literature and clinical guidelines.
- Synthesis of data on diagnostic criteria, treatment algorithms, and comorbidity assessment.
Main Results:
- Updated diagnostic algorithm for new-onset T2D in youth.
- Comprehensive treatment and management algorithms and tables.
- Recommendations for assessing comorbidities and complications.
- Guidance on newly approved pharmacologic therapies for youth T2D.
Conclusions:
- Current evidence supports updated management strategies for youth-onset T2D.
- Adherence to revised guidelines can optimize T2D care in children and adolescents.
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