American diabetes association guidelines for screening for Type 2 diabetes in children. Frequently Asked Questions.

1. American Diabetes
Association Guidelines for
Screening of Type 2
Diabetes in Children
DR. OM J LAKHANI
CONSULTANT ENDOCRINOLOGIST
ZYDUS HOSPITALS, AHMEDABAD
+919871009021 , www.dromlakhani.com

2. • Q. What are ADA guidelines for screening
asymptomatic children for type 2 diabetes

3. • Screening must be done starting 10 years of age or
at the age of onset of puberty- whichever is earlier
• It must be repeated every year

4. Indication:
• Children with BMI >/= 85th percentile with 2 or
more risk factors

5. Risk factors
1. Type 2 diabetes in first degree relative
2. Signs of insulin resistance
3. History of gestational diabetes in mother during
the child birth
4. High risk ethnicity

6. • Q. is Hba1c as a screening test for diabetes in
children validated ?

7. • No
• However it can be used

8. • Q. What is advantage and disadvantage of use of
HbA1c for screening children for type 2 ?

9. • HbA1c has high specificity but low sensitivity in
screening for type 2 diabetes in children
• Hence normal HBA1c does not rule out t2d in
children

10. • Q. What is the advantage of OGTT as a screening
test of for diabetes ?

11. • It has more sensitivity

12. pearl
• OGTT- More sensitive
• HbA1c- more specific

13. • Q. What is the dose of glucose given in children for
OGTT ?

14. • 1.75 grams/kg to maximum dose of 75 grams

15. • Q. How frequently is screening for diabetes
recommended in a Pre-diabetic individual ?

16. • Screening for diabetes must be done every year for
prediabetic individuals

17. • Q. What are the American Diabetes Association
criteria for Diagnosis of Type 2 diabetes in children
?

19. • Q. Summarize the ADA guidelines for screening for
Type 2 Diabetes in children ?

21. Thank you !