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Type 2 Diabetes in Children and Young Adults: A "New Epidemic"

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As the new president of the American Diabetes Association and as a pediatric endocrinologist, I have had the opportunity to appreciate the recent change in the face of type 2 diabetes in the United States. Type 2 diabetes has changed from a disease of our grandparents and parents to a disease of our children. As more and more children and young adults develop this devastating disease, it has become apparent that we have much to learn about who in the pediatric population is at risk to develop type 2 diabetes, why they develop this disease, how to treat it, and, most importantly, how to prevent this "new epidemic" from destroying future generations of Americans.

Type 2 diabetes has been described as a new epidemic in the American pediatric population that has been coincident with the overall 33% increase in diabetes incidence and prevalence seen during the past decade. In 1992, it was rare for most pediatric centers to have patients with type 2 diabetes. By 1994, type 2 diabetes accounted for up to 16% of new cases of pediatric diabetes in urban areas, and by 1999, it accounted for 8–45% of new cases depending on geographic location.

These cases of type 2 diabetes occur mainly in . . . [Full Text of this Article]

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