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Prevention of pediatric T2D is paramount, which requires a high index of suspicion, routine screening of children and adolescents, and willingness to engage in family-based interventions for those at risk for prediabetes and T2D. Osteopathic physicians have a unique opportunity to help by applying the osteopathic principles to the whole person- including environmental, societal, and lifestyle factors- to help patients achieve their health and wellness goals. There are very limited treatment options available to manage pediatric T2D. Preve