Got diabetes? Well, which one? With rising childhood obesity rates, we’re getting more of a mix of both! Today we talk about type 2 diabetes and how management can include both medications and lifestyle management. 

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This episode was written by Dr. Tammy Yau and Dr. Lidia Park with content support from Dr. Caroline Schulmeister, Dr. Lena van der List, and Dr. Su-Ting Li. Drs. Tammy and Lidia take full responsibility for any errors or misinformation. 

Key points: 

-First line management is insulin when in DKA 

-First line management is lifestyle modification and metformin when not in DKA 

-Consider adding insulin and GLP-1 agonists if still in poor control 

Supplemental Information 

AAP guidelines 2013: https://publications.aap.org/pediatrics/article/131/2/364/31847/Management-of-Newly-Diagnosed-Type-2-Diabetes 

AAFP guidelines 2018: https://www.aafp.org/afp/2018/1101/p590.html 

ISPAD guidelines 2018: https://www.ispad.org/page/ISPADGuidelines2018