Key points:

-First line management is insulin when in DKA

-First line management is lifestyle modification and metformin when not in DKA

-Consider adding insulin and GLP-1 agonists if still in poor control

Supplemental Information

AAP guidelines 2013: https://publications.aap.org/pediatrics/article/131/2/364/31847/Management-of-Newly-Diagnosed-Type-2-Diabetes

AAFP guidelines 2018: https://www.aafp.org/afp/2018/1101/p590.html

ISPAD guidelines 2018: https://www.ispad.org/page/ISPADGuidelines2018