New guidelines for children and adolescents with T2D

July 05, 2020

A team of paediatric specialists, including an expert from the University of Adelaide, has produced new guidelines regarding assessment and management of type 2 diabetes (T2D) in Australian and New Zealand children and adolescents.

With the incidence of T2D on the rise among children and adolescents, especially in Indigenous communities, early assessment and management is critical.

"Our publication includes the first Australasian evidence-based recommendations for screening, assessment and management of children and adolescents with type 2 diabetes and was approved by the peak body of paediatricians who look after children with diabetes, the Australasian Paediatric Endocrine Group (APEG)," says the author Dr Alexia Peña, Senior Lecturer from the University of Adelaide's Robinson Research Institute and Paediatric Endocrinologist at the Women's and Children's Hospital.

"The obesity epidemic, particularly in Indigenous young people, has caused the increase in the incidence of T2D especially in children older than 10 years of age.

"Adolescents develop complications earlier than adults with T2D and they are more likely to require insulin within a few years of diagnosis.

"Early identification and management of the condition, which is most prevalent among Indigenous people, is therefore critical to prevent complications and maintain their long-term health.

"Up until now there have been no guidelines in Australasia for assessment and management of T2D in children and adolescents and health professionals have had to refer to adult guidelines.

"These Australasian Paediatric Endocrine Group guidelines were developed by a group of expert health care professionals from Australia and New Zealand and included paediatric and adult endocrinologists, diabetes nurse educators, dietitians, psychologists and physiotherapists."

Recommended changes contained in the new guidelines include:Type 2 diabetes is a serious condition in which the body becomes resistant to the normal effects of insulin and/or gradually loses the capacity to produce enough insulin in the pancreas. It represents 85 to 90 per cent of all cases of diabetes and usually develops in middle age adults. Many people and even adolescents with T2D display none of the classic symptoms of the disease such as lethargy, excessive thirst and the need to pass more urine. It is more likely to occur if a person is overweight, has a family history of the condition or they are from particular ethnic backgrounds.

"There needs to be increasing awareness among the public that this chronic illness can start early. Children and adolescents need to be tested if they are in high-risk groups," says Dr Peña.

"It is critical that early diagnosis is followed with culturally sensitive advice to help them manage their diabetes in a way that promotes family-centred behavioural change.

"All health care professionals need to be aware of specifics for assessment and management of children with T2D.

"In some cases, by the time T2D is diagnosed, the complications of diabetes may already be present which is why early diagnosis and assessment followed by effective management is critical."

This study was published in the Medical Journal of Australia.
-end-


University of Adelaide

Related Diabetes Articles from Brightsurf:

New diabetes medication reduced heart event risk in those with diabetes and kidney disease
Sotagliflozin - a type of medication known as an SGLT2 inhibitor primarily prescribed for Type 2 diabetes - reduces the risk of adverse cardiovascular events for patients with diabetes and kidney disease.

Diabetes drug boosts survival in patients with type 2 diabetes and COVID-19 pneumonia
Sitagliptin, a drug to lower blood sugar in type 2 diabetes, also improves survival in diabetic patients hospitalized with COVID-19, suggests a multicenter observational study in Italy.

Making sense of diabetes
Throughout her 38-year nursing career, Laurel Despins has progressed from a bedside nurse to a clinical nurse specialist and has worked in medical, surgical and cardiac intensive care units.

Helping teens with type 1 diabetes improve diabetes control with MyDiaText
Adolescence is a difficult period of development, made more complex for those with Type 1 diabetes mellitus (T1DM).

Diabetes-in-a-dish model uncovers new insights into the cause of type 2 diabetes
Researchers have developed a novel 'disease-in-a-dish' model to study the basic molecular factors that lead to the development of type 2 diabetes, uncovering the potential existence of major signaling defects both inside and outside of the classical insulin signaling cascade, and providing new perspectives on the mechanisms behind insulin resistance in type 2 diabetes and possibly opportunities for the development of novel therapeutics for the disease.

Tele-diabetes to manage new-onset diabetes during COVID-19 pandemic
Two new case studies highlight the use of tele-diabetes to manage new-onset type 1 diabetes in an adult and an infant during the COVID-19 pandemic.

Genetic profile may predict type 2 diabetes risk among women with gestational diabetes
Women who go on to develop type 2 diabetes after having gestational, or pregnancy-related, diabetes are more likely to have particular genetic profiles, suggests an analysis by researchers at the National Institutes of Health and other institutions.

Maternal gestational diabetes linked to diabetes in children
Children and youth of mothers who had gestational diabetes during pregnancy are at increased risk of diabetes themselves, according to new research published in CMAJ (Canadian Medical Association Journal).

Two diabetes medications don't slow progression of type 2 diabetes in youth
In youth with impaired glucose tolerance or recent-onset type 2 diabetes, neither initial treatment with long-acting insulin followed by the drug metformin, nor metformin alone preserved the body's ability to make insulin, according to results published online June 25 in Diabetes Care.

People with diabetes visit the dentist less frequently despite link between diabetes, oral health
Adults with diabetes are less likely to visit the dentist than people with prediabetes or without diabetes, finds a new study led by researchers at NYU Rory Meyers College of Nursing and East Carolina University's Brody School of Medicine.

Read More: Diabetes News and Diabetes Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.