Introduction:

Type 2 diabetes mellitus (DM2) increasing incidence in the pediatric population is a reality. Screening is recommended only when risk factors are present, and the diagnostic criteria match the adults’ guidelines. The aim of the treatment is glycemic and risk factors control without compromising the child or adolescent development and prevention of comorbidities and complications. This case report intends to emphasize the early holistic approach and family involvement in the DM2 approach in adolescence.

Case description:

An obese 12-years old Hispanic male teenager, with a family history of obesity and DM2, presented to a medical appointment with elevated capillary blood glucose and polydipsia. Analytically, had fasting glycemia 160mg/dl and HbA1C 9.6%. Monitored by Endocrinology, engaged a strategy of lifestyle changes and metformin. Currently, after four years, has a normal body mass index and HBA1c < 6% only with non-pharmacological therapy.

Comment:

DM2 approach demands political figures, school networks, and health care services working together to promote healthy lifestyles and an effective fight against obesity. To avoid future complications, health professionals must provide an early diagnosis and medical therapy with a particular focus on lifestyle changes and family involvement.

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