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Into the Mouths of Babes: The Diabetes Epidemic in Children

	STUDY

 
Fagot-Campagna A, Pettit DJ, Engelgau MM, Burrows NR, Geiss LS, Baldez R, Beckles GI, Saaddine J, Gregg EW, Williamson DF, Narayan KMV: Type 2 diabetes among North American children and adolescents: an epidemiological review and a public health perspective. J Pediatr 136:664–672, 2000[Medline][Medline]

	SUMMARY

 
Objective. To review the magnitude, characteristics, and public health importance of type 2 diabetes in North American youth.

Methods. One hundred eighty-two publications on type 2 diabetes in youth published between January 1996 and June 1999 were reviewed by the Division of Diabetes Translation at the Centers for Disease Control and Prevention, the Sansum Medical Research Institute, and the Indian Health Service.

Results. Records of 578 youth diagnosed with type 2 diabetes were reviewed from the available studies. Ninety-four percent of the children and adolescents were from minority communities, and minorities with type 2 diabetes were overrepresented relative to their population size. The mean age of diagnosis ranged from 12 to 14 years except among Pima Indians, for whom the mean age was 16 years. Patients were more likely to be girls than boys. Obesity, family history of diabetes, and acanthosis nigricans were common among this population.

Conclusions. Type 2 diabetes has been an important problem among African Americans, Native Americans, and some ethnic minorities and is now emerging in all populations. Type 2 diabetes among youth is an emerging public health problem.

	COMMENTARY

 
The Tip of the Diabetes Iceberg
This study points out the epidemiology and characteristics of type 2 diabetes among children and adolescents in this country. It also suggests the need for further epidemiological study, particularly of the nonminority population for which data on the prevalence of type 2 diabetes among children and adolescents are more scarce.

Unfortunately, this study likely underreports the diagnosis of type 2 diabetes among private practice settings because the studies it reviewed were typically . . . [Full Text of this Article]

My, How We Have Grown
Presenting Symptoms Among Children and Adolescents With Type 2 Diabetes
Is It Type 1 or Type 2?
Treatment
Follow-up
What’s Television Got to Do With Diabetes?
Is Education Hurting Our Children?
The Future
Postscript

	Footnotes

 

	REFERENCES

 

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