Infant-juvenile type 2 diabetes

M L Calero Bernal; J M Varela Aguilar

doi:10.1016/j.rce.2018.03.020

Infant-juvenile type 2 diabetes

Rev Clin Esp (Barc). 2018 Oct;218(7):372-381. doi: 10.1016/j.rce.2018.03.020. Epub 2018 May 7.

[Article in English, Spanish]

Authors

M L Calero Bernal¹, J M Varela Aguilar²

Affiliations

¹ Servicio de Medicina Interna, Hospital San Juan de Dios del Aljarafe, Bormujos, Sevilla, España; Grupo de trabajo de Diabetes y Obesidad de SEMI, España. Electronic address: mirota96@hotmail.com.
² Grupo de trabajo de Diabetes y Obesidad de SEMI, España; Servicio de Medicina Interna, Hospital Virgen del Rocío, Sevilla, España; CIBER de Epidemiología y Salud Pública, Sevilla, España.

PMID: 29748149
DOI: 10.1016/j.rce.2018.03.020

Abstract

In recent years, we have witnessed an increase in the number of cases of type 2 diabetes mellitus (DM2) in children and adolescents, which has paralleled the increase in the worldwide prevalence of obesity. Although screening the general population does not appear to be cost-effective, special attention should be paid to children with excess weight, obesity or other factors that predispose them to a state of insulin resistance. When faced with the diagnosis of childhood DM2, the presence of comorbidities (such as hypertension, dyslipidemia and microalbuminuria) should be assessed, and appropriate treatment and follow-up should be administered to prevent the onset of complications, given that the DM2 in this population group will last longer than that started in adulthood.

Keywords: Adolescence; Adolescencia; Childhood; Comorbidities; Comorbilidades; Diabetes mellitus tipo 2; Infancia; Obesidad; Obesity; Tratamiento; Treatment; Type 2 diabetes mellitus.