Improving continuing medical education and residency-based programs is imperative to adequately address the emerging epidemic of type 2 diabetes mellitus in children and adolescents.ĪN ALARMING INCREASE in the frequency of type 2 diabetes mellitus in children and adolescents has been recently reported in America. The leading perceived barriers to counseling and follow-up were inadequate time for counseling, poor adherence of patients, lack of family support, lack of familiarity of clinical practice recommendations, and lack of health care insurance coverage.Ĭonclusions Pediatricians who had a higher perceived confidence level and who perceived they were better prepared for the counseling and follow-up of patients with type 2 diabetes mellitus had a greater potential to positively affect their diabetic patients. Of the respondents, 15.3% perceived they were well prepared to counsel and provide follow-up to patients with type 2 diabetes mellitus. 02) more likely than pediatricians who were less confident to refer their patients for exercise, dietary interventions, and educational services. Pediatricians who were confident during counseling and follow-up were significantly ( P =. Results Every 1 in 9 respondents referred their patients with type 2 diabetes mellitus for exercise, while most pediatricians referred their patients for dietary interventions (62.3%) and educational services (62.6%). Setting A national random sample of pediatricians who work in private practice, hospital settings, and/or clinics. Descriptive statistics, analysis of variance, and logistic regression were used for data analyses. Objective To assess pediatricians' perceptions and practices regarding the prevention and treatment of type 2 diabetes mellitus in children and adolescents in a cross-sectional study.ĭesign A 3-wave mailing of a questionnaire to 550 pediatricians. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.
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