Management of Pediatric Type 2 Diabetes: A Case Study | Recording-Management of Pediatric Type 2 Diabetes: A Case Study

Video Transcription

Video Summary

The webinar on managing pediatric Type 2 diabetes, moderated by Paige Johnson, provides essential insights for primary care professionals. Dr. Elizabeth Walsh, a pediatric endocrinologist, highlights the complexities of diagnosing pediatric Type 2 diabetes, noting challenges such as distinguishing between Type 1 and Type 2, and screening high-risk populations. Dr. Walsh emphasizes that Type 2 diabetes in children, initially identified in Pima Indian children, has seen a staggering increase, particularly post-COVID-19, due to several risk factors including genetics and lifestyle. Early detection and treatment are vital, and the American Diabetes Association provides guidelines for screening, especially for children over ten who have other risk factors.<br /><br />Treatment strategies vary according to A1C levels, often starting with lifestyle interventions and metformin, and possibly insulin for higher A1C levels. New medications, like GLP-1 receptor agonists, are being considered for pediatric use, underlining the importance of prompt and aggressive management to prevent early complications.<br /><br />Concurrently, Sarah Navalee Rush, a registered dietitian, discusses strategies for nutritional management, highlighting the balance plate model as a resource to promote healthier eating habits. This model balances non-starchy vegetables, protein, and carbohydrates, fitting within cultural dietary preferences and supporting the physiological needs of young patients.<br /><br />Behavioral health aspects, presented by Brianna Winston, address the psychosocial challenges faced by adolescents managing diabetes. Factors like peer pressure, independence, and self-image significantly impact their management rates, echoed by patient Jack Thomas. Strategies to assist these patients include promoting open communication, validating emotions, and encouraging a support network to foster acceptance and long-term management of diabetes.

Keywords

pediatric Type 2 diabetes

primary care

Dr. Elizabeth Walsh

diagnosing diabetes

high-risk populations

American Diabetes Association

screening guidelines

treatment strategies

GLP-1 receptor agonists

nutritional management

balance plate model

behavioral health

psychosocial challenges