Assessment of risk and treatment options
| Category | Definitions | Treatment |
|---|---|---|
| Low risk | No significant psychological concerns | Multidisciplinary group weight management programme |
| Does not have IRS or other medical complications of obesity | ||
| Medium risk | Either of: | Multidisciplinary group remains primary treatment. |
| Insulin resistance syndrome (⩾2 additional components) | Consider use of metformin for insulin resistance | |
| Significant psychological concerns | Consider mental health input for child and parents | |
| High risk | Sleep apnoea syndrome | Medical treatment as appropriate. |
| Type 2 diabetes | Mental health treatment for child and family | |
| Child protection concerns | Multidisciplinary treatment if appropriate |