Prediabetes

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ResultChoose one

ReviewedChoose any

Symptoms of high blood sugar presentChoose any

Symptoms of high blood sugar absentChoose any

Weight statusChoose one

Risk factorsChoose any

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LifestyleChoose any

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Discussed the need for emergency evaluation today. Caregiver expressed understanding and agreement with plan. Answered all questions.

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Prediabetes
• Hemoglobin A1c in the prediabetes range, below 6%
• Results, symptoms, medications, weight trend, and family history reviewed
• No increased thirst, frequent urination, new bedwetting, unexplained weight loss, or blurred vision
• Hemoglobin A1c to be repeated in 1 year given risk factors for progression
• Healthy habit goals set with the family: water instead of sugary drinks, more fruits and vegetables, smaller portions, and daily active play
• Follow up in 3 months to review progress on healthy habit goals

Prediabetes means blood sugar is higher than normal but not in the diabetes range, and steady family changes can bring it back to normal. Recommended supportive care with an emphasis on water instead of sugary drinks, more fruits and vegetables, daily active play, and regular sleep. Return precautions given including increased thirst, frequent urination, new bedwetting, unexplained weight loss, blurred vision, vomiting, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Result: A1c or fasting glucose in prediabetes range; A1c in diabetes range without symptoms
Symptoms of hyperglycemia present or absent
Risk factors (family history, gestational diabetes, acanthosis, PCOS, psychotropic medicine)
Repeat A1c in 1 year, 3-6 months or 2 years by range and risk; confirmatory testing; OGTT; fructosamine
Lipids and ALT
Lifestyle goals; activity and screen time
Dietitian; intensive program; endocrinology; obesity medicine
Metformin (insufficient evidence for routine use in prediabetes)
Follow-up 3 months for lifestyle progress

Used to decide, kept out of the note

Fasting insulin

Return precautions in the template

increased thirstfrequent urinationnew bedwettingunexplained weight lossblurred visionvomiting

Prediabetes

What the sources cover

Used to decide, kept out of the note

Return precautions in the template

Sources