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Published on: July 5, 2022
Diabetes in young: Beyond type 1
Anju Virmani1, Abhishek Kulkarni
1Department of Endocrinology and Metabolism, Senior Consultant Endocrinologist, Apollo/ Max/ Pentamed/ Sunderlal Jain Hospitals, Delhi, India.
Insights
Childhood diabetes, primarily type 1, sees a rise in type 2 cases due to lifestyle changes. Differentiating between types and other pancreatic conditions presents challenges, highlighting the need for primary prevention.
Area of Science:
- Pediatrics
- Endocrinology
- Public Health
Background:
- Type 1 diabetes is the most common form in children.
- Childhood type 2 diabetes is increasing due to lifestyle factors.
- Diagnostic challenges exist due to overlapping symptoms.
Purpose of the Study:
- To review the increasing prevalence of type 2 diabetes in children.
- To discuss diagnostic difficulties in childhood diabetes.
- To emphasize the importance of primary prevention strategies.
Main Methods:
- Literature review of childhood diabetes.
- Analysis of diagnostic criteria for differentiating diabetes types.
- Discussion of management and prevention.
Main Results:
- Type 2 diabetes is a growing concern in pediatric populations.
- Non-specific clinical and laboratory findings complicate diagnosis.
- Monogenic diabetes (MODY) and other pancreatic diseases can mimic common types.
Conclusions:
- Accurate diagnosis is crucial for effective childhood diabetes management.
- Primary prevention of childhood diabetes is paramount.
- Further research into early detection and intervention is needed.
Abstract:
Although majority of diabetes in children is type1 diabetes, childhood type2 diabetes prevalence is rapidly increasing due to changing lifestyle. Most patients can be definitely grouped into either of the two but some present diagnostic difficulty due to overlapping and non specific clinical features and laboratory findings. MODY and several other diseases affecting the pancreas also result in childhood diabetes. Treatment of diabetes in children presents unique challenges and primary prevention is of prime importance.
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