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Paediatric Type 2 Diabetes Still Rare in an Irish Tertiary Referral Unit
R Kernan1, A Carroll1, N McGrath1
1Department of Diabetes and Endocrinology, Children's University Hospital, Temple St, Dublin 1.
Irish Medical Journal
|June 6, 2018
Summary
Childhood Type 2 Diabetes is rare in our clinic, affecting only 2% of young patients. Most affected children were overweight, non-Caucasian, and presented with complications like hypertension.
Area of Science:
- Pediatrics
- Endocrinology
- Public Health
Background:
- Childhood Type 2 Diabetes (T2D) prevalence is rising globally.
- However, T2D remains less common than Type 1 Diabetes (T1D) in pediatric populations.
- Understanding T2D in children is crucial due to differing management from T1D.
Purpose of the Study:
- To determine the prevalence of T2D in children and adolescents within our specific service area.
- To characterize the demographic and clinical features of pediatric T2D patients.
- To highlight the importance of identifying T2D in this age group.
Main Methods:
- Retrospective analysis of diabetes cases in patients under 16 years old.
- Data collection included diagnosis (T1D vs. T2D), age, weight status, ethnicity, and presence of complications.
- Descriptive statistics were used to summarize findings.
Main Results:
- Only 2% (7/320) of pediatric diabetes cases were diagnosed as T2D.
- All T2D patients were overweight or obese.
- The majority of T2D patients (6/7) were non-Caucasian, with a mean age of 12.8 years at presentation.
- Hypertension was the most common complication, affecting 85% (6/7) of T2D patients.
Conclusions:
- Childhood T2D is uncommon in this cohort but warrants attention.
- Overweight/obesity and non-Caucasian ethnicity are key risk factors.
- Early identification and distinct management strategies are essential for pediatric T2D.
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