How to prepare for a video visit about Prediabetes (Lifestyle Counseling)

Audience: pediatric

Prediabetes means blood sugar levels are higher than normal but not high enough to be diabetes. It is common in children who are overweight or have a family history of diabetes. A video visit with a healthcare provider can help you learn how to make healthy changes to prevent diabetes. During the visit, the provider will talk about healthy eating, physical activity, and other ways to keep blood sugar in a safe range. Preparing for the visit can help you get the most out of it. This guide explains what to expect, how to prepare, and when to seek urgent care. Remember, telemedicine is a helpful tool but does not replace in-person exams when needed.

Red flags — go in person / ER

• Excessive thirst and frequent urination lasting several hours or more — seek urgent care immediately.
• Sudden vomiting, abdominal pain, or difficulty breathing — call emergency services right away.
• Confusion, drowsiness, or unconsciousness — this is an emergency; get immediate help.

What telemedicine can do

• Discussing lifestyle changes to manage prediabetes.
• Reviewing lab results and explaining their meaning.
• Answering questions about diet, exercise, and general health advice.
• Providing guidance on monitoring symptoms and when to seek care.

What telemedicine cannot do

• Diagnosing new or severe medical conditions.
• Managing emergencies such as diabetic ketoacidosis.
• Performing physical exams or tests that require in-person visits.
• Prescribing medications that require close monitoring without prior evaluation.

What is Prediabetes in Children?

Prediabetes means your child's blood sugar is higher than normal but not high enough to be diabetes. It can increase the chance of developing type 2 diabetes later. Many children with prediabetes do not have symptoms. Early lifestyle changes can often prevent diabetes.

What to Expect During Your Video Visit

The healthcare provider will ask about your child's health, eating habits, physical activity, and family history. They may review recent lab test results if available. The provider will give advice on healthy eating, exercise, and ways to reduce sugar and unhealthy fats. They may also discuss setting goals and follow-up plans.

How to Prepare for the Video Visit

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When to Seek Immediate Medical Care

If your child has any of these signs, seek emergency care:

These are urgent and cannot be managed through telemedicine alone.

After Your Video Visit: Next Steps

Follow the provider's advice on diet and exercise. Schedule any recommended lab tests or follow-up visits. Keep track of your child's progress and any new symptoms. Contact your healthcare provider if you have concerns or if your child's condition changes.

How to prepare for your tele-visit

• Ensure a stable internet connection and a quiet, private space for the visit.
• Have your child's recent lab results or medical records available.
• Prepare a list of questions or concerns about your child's health and lifestyle.
• Note your child's typical daily diet and physical activity.
• Make sure your child is present for the visit if possible.

After your tele-visit

• Follow the lifestyle recommendations given by the healthcare provider.
• Schedule any recommended lab tests or follow-up appointments.
• Monitor your child's symptoms and blood sugar if advised.
• Contact your healthcare provider if new symptoms develop or existing symptoms worsen.
• Keep a record of your child's progress and any changes in health.

FAQs

What is prediabetes in children?

Prediabetes means blood sugar levels are higher than normal but not high enough to be diabetes. It can increase the risk of developing type 2 diabetes later in life. Many children with prediabetes do not have symptoms, so testing is important if risk factors exist.

Can lifestyle changes really prevent diabetes?

Yes. Healthy eating, regular physical activity, and maintaining a healthy weight can often prevent or delay type 2 diabetes in children with prediabetes.

What should I do if my child feels very thirsty and urinates a lot?

These can be signs of high blood sugar. You should seek medical care immediately, especially if these symptoms last for several hours or worsen.

Why do I need to prepare for a video visit?

Preparing helps you make the most of the visit. Having questions ready, sharing health information, and ensuring a good connection help the healthcare provider give the best advice.

Is telemedicine enough to manage prediabetes?

Telemedicine is useful for education and counseling but may not replace in-person visits for physical exams or urgent care. Follow your provider's recommendations about when to see them in person.

Sources

1. Prediabetes — MedlinePlus, U.S. National Library of Medicine.
2. Prediabetes and Type 2 Diabetes in Children and Adolescents — Centers for Disease Control and Prevention (CDC).
3. Prediabetes: What You Need to Know — Mayo Clinic.
4. Prediabetes and Diabetes Prevention — American Academy of Pediatrics (AAP).

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If your child has urgent or severe symptoms, seek immediate medical attention. Always follow the advice of your healthcare provider regarding diagnosis and treatment.