Table 2.
Recommended treatment targets that may reduce risk of nephropathy in youth with type 2 diabetes.
| Clinical parameter | Intervention | Treatment target |
|---|---|---|
| Glycemic control | Lifestyle/Insulin/Metformin | HbA1c ≤ 7% |
| Prehypertension [44] (bp > 90th–95th) | Lifestyle | Bp < 90th percentile |
| Hypertension [44] (bp > 95th percentile) | Lifestyle ± Ace inhibitor or Angiotensin II Receptor Blocker | Bp < 90th percentile |
| Dyslipidemia LDL ≥2.6 mmol/L | Lifestyle | LDL < 2.6 mmol/L |
| Dyslipidemia LDL >4.1 mmol/L | Lifestyle + Statin | LDL < 2.6 mmol/L |
| Overweight and Obesity | Lifestyle | BMI < 85th percentile |
| Smoking | Cessation strategies | Nonsmoker |