Over 450 pounds. That’s what a 14-year-old boy who came in for his first appointment with me weighed. Our office scale only goes up to 450 pounds, so we were unable to get his exact weight. We were unable to get a blood pressure because our extra-large adult blood pressure cuff was too small for him. Although he had no specific complaints that day, an abnormal amount of glucose (sugar) was found in his urine. Subsequent blood work showed high insulin and high hemoglobin A1C levels — signs of early type 2 diabetes.