Pediatric Diabetes Screening & Management Care Process Model
University of Utah/Intermountain Healthcare

Key Points
- Patients with BMI ≥85th percentile with ≥1 diabetes risk factors and age ≥10 years or pubertal should be screened for type 2 diabetes with a fasting plasma glucose or a HgbA1c.
- Patients with obesity, pre-diabetes, and type 2 diabetes should be treated with lifestyle and dietary intervention.
- Patients diagnosed with type 2 diabetes should be initiated on metformin therapy as long no contraindications exist.
- Patients with HgbA1c in the 6 - 6.4% range or with continued impaired glucose tolerance after 6 months of lifestyle interventions may be started on metformin.
- If fasting plasma glucose or HgbA1c places the patient in the diabetic range, perform recommended lab work to help rule out diabetic ketoacidosis (DKA) and type 1 diabetes.
- Patients with DKA should be emergently referred to a facility with pediatric resources for DKA management.
- Consider adding liraglutide in patients with continued HgbA1c elevation and impaired glucose tolerance after starting metformin.
- If considering insulin therapy, consult or refer to pediatric endocrinology.
Resources
Services for Patients & Families in Ohio (OH)
Service Categories | # of providers* in: | OH | NW | Other states (4) (show) | | NM | NV | RI | UT |
---|---|---|---|---|---|---|---|---|---|
Diabetes Clinics | 1 | 2 | 1 | 16 | |||||
Pediatric Endocrinology | 1 | 1 | 4 | 6 | 13 | 3 |
For services not listed above, browse our Services categories or search our database.
* number of provider listings may vary by how states categorize services, whether providers are listed by organization or individual, how services are organized in the state, and other factors; Nationwide (NW) providers are generally limited to web-based services, provider locator services, and organizations that serve children from across the nation.
Page Bibliography
American Diabetes Association Professional Practice Committee.
13. Children and Adolescents: Standards of Medical Care in Diabetes-2021.
Diabetes Care.
2021;44(Suppl 1):S180-S199.
PubMed abstract
The American Diabetes Association (ADA) "Standards of Medical Care in Diabetes" includes the ADA's current clinical practice
recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools
to evaluate quality of care.
Magge SN, Silverstein J, Elder D, Nadeau K, Hannon TS.
Evaluation and Treatment of Prediabetes in Youth.
J Pediatr.
2020;219:11-22.
PubMed abstract / Full Text