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PEDIATRICS Vol. 112 No. 4 October 2003, pp. e328-e328

CLINICAL REPORT

Prevention and Treatment of Type 2 Diabetes Mellitus in Children, With Special Emphasis on American Indian and Alaska Native Children

Sheila Gahagan, MD, Janet Silverstein, MD, Committee on Native American Child Health and Section on Endocrinology

The emergence of type 2 diabetes mellitus in the American Indian/Alaska Native pediatric population presents a new challenge for pediatricians and other health care professionals. This chronic disease requires preventive efforts, early diagnosis, and collaborative care of the patient and family within the context of a medical home.

Key Words: type 2 diabetes mellitus • children • American Indian • Alaska Native • Native American • pediatric population

Abbreviations: AI/AN, American Indian/Alaska Native • AAP, American Academy of Pediatrics • IHS, Indian Health Service • CDC, Centers for Disease Control and Prevention • ADA, American Diabetes Association • PCOS, polycystic ovarian syndrome • BMI, body mass index • HbA1c, glycosylated hemoglobin • OGTT, oral glucose tolerance test • FBG, fasting blood glucose • FPG, fasting plasma glucose • SMBG, self-monitoring of blood glucose • ACE, angiotensin-converting enzyme • LDL, low-density lipoprotein • HDL, high-density lipoprotein • NDEP, National Diabetes Education Program • NPH, neutral protamine Hagedorn • TZD, thiazolidinedione




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