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Am Fam Physician. 2023;107(1):79-80

Related USPSTF Clinical Summary: Screening for Prediabetes and Type 2 Diabetes in Children and Adolescents

This clinical content conforms to AAFP criteria for CME.

Author disclosure: No relevant financial relationships.

Case Study

A 12-year-old child, J.G., presents as a new patient to your clinic for a wellness visit. J.G. states that they have no current health concerns. J.G.'s parents report that J.G. has no significant medical history but that J.G. has gained 8.1 kg (18 lb) since their last wellness visit and lives a sedentary lifestyle. The parents also relay that there is a family history of type 2 diabetes mellitus in J.G.'s maternal and paternal grandparents. J.G.'s body mass index is 26 kg per m2.

Case Study Questions

1. According to the U.S. Preventive Services Task Force (USPSTF) recommendation statement, is screening for prediabetes and type 2 diabetes recommended for this patient?

  • A. Yes, there is high certainty that the net benefit of screening is substantial.

  • B. No, there is high certainty that screening has no net benefit.

  • C. Yes, there is high certainty that the net benefit of screening is moderate.

  • D. No, there is high certainty that the harms of screening outweigh the benefits.

  • E. The current evidence is insufficient to assess the balance of benefits and harms of screening.

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This series is coordinated by Joanna Drowos, DO, contributing editor.

A collection of Putting Prevention Into Practice published in AFP is available at https://www.aafp.org/afp/ppip.

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