# Eso Pediatric Obesity Fasting Glucose Interpretation

> Interprets fasting plasma glucose to screen for prediabetes and diabetes in children and adolescents with BMI ≥85th percentile (overweight/obese). Trigger phrases include 'overweight or obese', 'BMI ≥85th percentile', 'screening for comorbidities', and 'fasting plasma glucose'.

- Skill: `dromlakhani/eso-pediatric-obesity-fasting-glucose-interpretation` (Agent Skill)
- Install (CLI): `npx skillmds@latest add dromlakhani/eso-pediatric-obesity-fasting-glucose-interpretation`
- Raw SKILL.md: https://api.skillmd.com/api/skills/dromlakhani/eso-pediatric-obesity-fasting-glucose-interpretation/raw
- Safety review: pending (external: skill-scanner PASS, skillspector PASS)
- Works with: Claude Code, Claude.ai, OpenAI Codex
- Category: Coding & Dev Tools
- Author: dromlakhani (https://skillmd.com/u/dromlakhani)
- Updated: 2026-09-08
- Page: https://skillmd.com/skills/dromlakhani/eso-pediatric-obesity-fasting-glucose-interpretation

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# Interpret fasting plasma glucose for prediabetes and diabetes screening

## STEP 1 — Gather Information
Collect fasting plasma glucose result after ≥8 hours caloric fast; verify patient’s BMI percentile to confirm overweight/obese status (≥85th percentile) indicating need for comorbidity screening per Table 2.

## STEP 2 — Rule In / Rule Out
Is fasting plasma glucose ≥126 mg/dL? If yes → rule in diabetes; if <100 mg/dL → rule out diabetes and prediabetes (normal); if 100–125 mg/dL → proceed to classify prediabetes.

## STEP 3 — Classify or Stratify
For glucose 100–125 mg/dL: classify as impaired fasting glucose (prediabetes, IFG); for glucose <100 mg/dL: classify as normal.

## STEP 4 — Decide
Normal: repeat screening annually per obesity guideline; Prediabetes: initiate lifestyle modification, repeat glucose in 3–6 months, monitor for progression; Diabetes: confirm with repeat testing if asymptomatic, then initiate diabetes management per ADA guidelines.

## Clinical Guardrails / Mimics / Pitfalls
Do not use random glucose or HbA1c alone for diagnosis in pediatrics; ensure fasting state; avoid insulin concentrations; single abnormal result requires confirmation; consider acute illness, stress, or medication effects that may transiently elevate glucose.

## Concrete Clinical Example
A 12‑year‑old with BMI at the 98th percentile has a fasting plasma glucose of 110 mg/dL after an overnight fast → classified as prediabetes (IFG) → lifestyle counseling and repeat testing in 4 weeks advised.

**Source:** Pediatric Obesity Assessment, Treatment, and Prevention: An Endocrine Society Clinical Practice Guideline, Endocrine Society, 2017, DOI:10.1210/jc.2016-2573
> **TODO:** consider adding scripts/calc.py for the eso-pediatric-obesity-fasting-glucose-interpretation calculator