<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2182-5173</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Medicina Geral e Familiar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Port Med Geral Fam]]></abbrev-journal-title>
<issn>2182-5173</issn>
<publisher>
<publisher-name><![CDATA[Associação Portuguesa de Medicina Geral e Familiar]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2182-51732021000200163</article-id>
<article-id pub-id-type="doi">10.32385/rpmgf.v37i2.12296</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Diabetes mellitus tipo 2 em idade pediátrica.]]></article-title>
<article-title xml:lang="en"><![CDATA[Type 2 diabetes mellitus in pediatric age.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Raínho]]></surname>
<given-names><![CDATA[Cláudia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Adão]]></surname>
<given-names><![CDATA[Ana Margarida]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Teles]]></surname>
<given-names><![CDATA[Inês]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Neto]]></surname>
<given-names><![CDATA[Margarida]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,ACeS Baixo Vouga USF Arte Nova ]]></institution>
<addr-line><![CDATA[Aveiro ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,ACeS Baixo Vouga USF Senhora de Vagos ]]></institution>
<addr-line><![CDATA[Aveiro ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,ACeS Baixo Vouga USF Leme ]]></institution>
<addr-line><![CDATA[Aveiro ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>04</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>04</month>
<year>2021</year>
</pub-date>
<volume>37</volume>
<numero>2</numero>
<fpage>163</fpage>
<lpage>169</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2182-51732021000200163&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2182-51732021000200163&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2182-51732021000200163&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A crescente incidência de diabetes mellitus tipo 2 (DM2) em idade pediátrica é uma realidade. O rastreio recomenda-se perante fatores de risco, sendo comuns ao adulto os critérios diagnósticos. Nesta idade o tratamento visa o controlo glicémico e de fatores de risco associados, sem comprometer o desenvolvimento, e também a prevenção de comorbilidades e complicações. Este caso clínico pretende destacar a abordagem holística precoce e o envolvimento familiar na abordagem da DM2 neste grupo etário.  Descrição do caso:  Adolescente, sexo masculino, 12 anos, hispânico, com antecedentes pessoais de obesidade, alimentação desequilibrada e história familiar de obesidade e DM2, recorreu à consulta por glicemia capilar ocasional elevada, referindo polidipsia. Apresentava glicemia em jejum 160mg/dl e HbA1C 9,6%. Foi referenciado à especialidade de endocrinologia e, após estudo, iniciou alterações de estilo de vida e terapêutica farmacológica com metformina. Atualmente, após quatro anos, apresenta-se normoponderal, com HbA1C &lt; 6%, apenas sob terapêutica não farmacológica.  Comentário:  A abordagem desta patologia em idades jovens exige um trabalho conjunto de autoridades políticas, rede escolar e cuidados de saúde para uma promoção de estilos de vida saudáveis e combate ativo à obesidade infantil, procurando envolver e responsabilizar os cidadãos. Os profissionais de saúde devem estabelecer precocemente o diagnóstico e terapêutica para evitar complicações, sendo essenciais as mudanças de estilo de vida e o envolvimento familiar.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  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&#8217; 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 &lt; 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.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Diabetes mellitus tipo 2]]></kwd>
<kwd lng="pt"><![CDATA[Crianças]]></kwd>
<kwd lng="pt"><![CDATA[Adolescentes]]></kwd>
<kwd lng="en"><![CDATA[Diabetes mellitus, type 2]]></kwd>
<kwd lng="en"><![CDATA[Child]]></kwd>
<kwd lng="en"><![CDATA[Adolescent]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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