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lüll Pediatric endocrinologists management of children with type 2 diabetes Wong K; Potter A; Mulvaney S; Russell WE; Schlundt DG; Rothman RLDiabetes Care 2010[Mar]; 33 (3): 512-4OBJECTIVE To understand physician behaviors and attitudes in managing children with type 2 diabetes. RESEARCH DESIGN AND METHODS A survey was mailed to a nationwide sample of pediatric endocrinologists (PEs). RESULTS A total of 40% of PEs surveyed responded (211 of 527). Concordance with current monitoring guidelines varied widely, ranging from 36% (foot care) to 93% (blood pressure monitoring). Given clinical vignettes addressing hyperlipidemia, hypertension, and microalbuminuria, only 34% of PEs were fully concordant with current treatment guidelines. Reported barriers included concerns about patient adherence, insufficient scientific evidence about treatment, and lack of familiarity with current recommendations. Providers aged < or =45 years or in clinical practice <10 years reported significantly more aggressive management behaviors and had higher concordance with guidelines. CONCLUSIONS Screening and management of pediatric type 2 diabetes varied widely among PEs, suggesting opportunities for quality improvement. More aggressive management of type 2 diabetes among younger providers may be related to recent training when type 2 diabetes was more common.|Adolescent[MESH]|Adult[MESH]|Child[MESH]|Data Collection[MESH]|Diabetes Mellitus, Type 2/*therapy[MESH]|Endocrinology/*methods[MESH]|Female[MESH]|Guideline Adherence[MESH]|Humans[MESH]|Male[MESH]|Middle Aged[MESH]|Pediatrics/methods[MESH]|Professional Competence[MESH]|Professional Practice[MESH] |