[Emergence of type 2 diabetes in French children]

Paul Czernichow1, Nadia Tubiana-Rufi

  • 1Hôpital Robert Debré, Service d'Endocrinologie, 48 boulevard Sérurier 75019 Paris.

Insights

Type 2 diabetes in children is emerging in France, though still less common than in the US. Rising childhood obesity may increase its incidence, mirroring North American trends.

Area of Science:

  • Pediatrics
  • Endocrinology
  • Public Health

Context:

  • Diabetes mellitus (DM) heterogeneity is recognized, impacting disease management.
  • Pediatric diabetes cases require precise classification for effective treatment and research.
  • Childhood obesity is a growing concern globally, including in France.

Purpose:

  • To determine the distribution of diabetes mellitus patterns in a pediatric cohort using American Diabetes Association (ADA) criteria.
  • To document the emergence and incidence of type 2 diabetes mellitus in French children.
  • To compare pediatric type 2 diabetes mellitus trends in France over time and with international data.

Summary:

  • A review of pediatric diabetes cases (1993-1998 and 2001) in a French center used ADA criteria.
  • Type 2 diabetes mellitus was diagnosed in 8 of 370 children (1993-1998) and 5 of 90 children (2001).
  • While incidence remains low, a slight increase in pediatric type 2 diabetes mellitus was observed, often associated with significant obesity.

Impact:

  • The study highlights the low but potentially increasing incidence of type 2 diabetes mellitus in French children.
  • Findings suggest that rising childhood obesity rates in France could lead to increased type 2 diabetes mellitus cases.
  • Data provides a benchmark for monitoring pediatric diabetes trends and informing public health strategies in France.

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