Overview
- Pediatric specialists and the Paindi program link the surge to ultraprocessed foods, sugary drinks, fast food, sedentary routines, and long screen time.
- Family history elevates risk in minors, while early diagnosis and education help keep glucose under control.
- Prevention advice centers on cutting added sugars and ultraprocessed items, prioritizing whole foods and vegetables, and ensuring at least 60 minutes of daily moderate activity.
- Nutrition guidance includes portioning fruit to about one medium piece or one cup per serving for two to three servings daily and avoiding juices or smoothies that spike sugar absorption.
- Clinical care calls for regular follow-up with pediatric endocrinology and, when indicated, metformin, with warnings about complications such as dehydration, diabetic ketoacidosis, vascular and organ damage, and psychosocial impacts.