Obesity: A term uses to describe excess body fat. It is defined in terms of a person's weight and height, or the body mass index (BMI). A BMI over 30 is classified as being obese. Obesity makes your body less sensitive to insulin's action. Extra body fat is thought to be a risk factor for diabetes.
Ophthalmologist: A doctor who treats people with eye diseases.
Optometrist: A person professionally trained to test the eyes and to detect and treat eye problems, as well as some diseases, by prescribing and adapting corrective lenses.
Oral diabetes medications: Medications that people take to lower the level of sugar in the blood. Oral diabetes medications are prescribed for people whose pancreas still produces some insulin. These medications are not used in diabetes during pregnancy.
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Although accurate and convenient for detecting type 2 diabetes and prediabetes in adults, current HbA1c cutoffs may not be enough to diagnose diabetes in children.
A 2010 clinical practice guideline from the American Diabetes Association recommends that physicians exclusively use the HbA1c assay to detect diabetes. The guidelines recommend a cutoff of 6.5% or greater for diagnosis.
However, researchers for two recent studies highlight significant vulnerabilities in the recommended test’s ability to diagnose diabetes and prediabetes in children.