Screening for type 2 diabetes mellitus in children and adolescents: attitudes, barriers, and practices among pediatric clinicians

Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association
Erinn T RhodesDavid S Ludwig

Abstract

The American Diabetes Association (ADA) recommends screening children at risk for type 2 diabetes with a fasting plasma glucose test or an oral glucose tolerance test. The purpose of this study was to describe attitudes, barriers, and practices related to type 2 diabetes screening in children among pediatric clinicians. Pediatricians, nurse practitioners and physician assistants from a multispecialty, group practice in Eastern Massachusetts completed a mailed survey. To assess screening practice, three vignettes were presented representing pediatric patients with low, moderately high, and high risk for type 2 diabetes. The moderately high-risk and high-risk patients met ADA criteria for screening. ADA-consistent practice was defined as only screening the moderately high-risk and high-risk patients; lower-threshold practice was defined as also screening the low-risk patient; and higher threshold practice was screening only the high-risk patient. Sixty-two of 90 clinicians responded (69%). Based on intent to screen in the 3 vignettes, 21% of respondents reported ADA-consistent screening practice, 39% lower-threshold, and 35% higher-threshold screening practice. Five percent had incomplete or nonclassifiable responses. Many clinic...Continue Reading

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Citations

May 28, 2011·The Diabetes Educator·Eva M VivianTara Becker
Feb 26, 2013·Journal of Pediatric Endocrinology & Metabolism : JPEM·Joyce M LeeJames G Gurney
Aug 24, 2013·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Joyce M LeeBeth A Tarini
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Dec 2, 2010·Revista latino-americana de enfermagem·Suyanne Freire de MacêdoMarta Maria Coelho Damasceno
Jan 22, 2009·Endocrine Research·Phil Zeitler, Orit Pinhas-Hamiel
Apr 19, 2021·Journal of Pediatric Endocrinology & Metabolism : JPEM·Sarah Wing-Yiu PoonJoanna Yuet-Ling Tung
May 29, 2021·Scientific Reports·Nita VangeepuramGaurav Pandey

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