COMMENTARY |
An Update on Type 2 Diabetes in Youth From the National Diabetes Education Program
Diabetes in Children Adolescents Work Group of the National Diabetes Education Program
Abbreviations: AAP, American Academy of Pediatrics • ADA, American Diabetes Association • NDEP, National Diabetes Education Program • NIDDK, National Institute of Diabetes and Digestive and Kidney Diseases • CDC, Centers for Disease Control and Prevention • BMI, body mass index • LDL, low-density lipoprotein
| The first 300 words of the full text of this article appear below. |
In the year 2000, the American Academy of Pediatrics (AAP) and American Diabetes Association (ADA) issued a joint consensus statement on type 2 diabetes in children and adolescents.1,2 The statement presented current knowledge concerning the classification, epidemiology, and pathophysiology of type 2 diabetes in youth and provided management guidance for providers concerning testing, treating, and preventing this serious and costly disease. Because it is clear that glucose intolerance develops on a continuum from normal blood glucose to frank type 2 diabetes in children and adults, early interventions in this process may effectively reduce risk for diabetes complications.
This commentary provides an update for pediatric health care providers on new research findings, the costs related to obesity and diabetes, and gains made in national initiatives focused on youth with or at risk for type 2 diabetes. A goal of the National Diabetes Education Program (NDEP) is to assist health care providers and consumers to better meet the needs of children with or at risk for type 2 diabetes. NDEP is jointly sponsored by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) and the Centers for Disease Control and Prevention (CDC) and works in partnership with >200 professional and consumer organizations including the AAP, ADA, and Juvenile Diabetes Research Foundation International.
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PREVALENCE ESTIMATES |
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True population-based prevalence data are not available yet, but existing statistics indicate that the prevalence of type 2 diabetes in youth is increasing. Although no ethnic group is free of the problem, the disease disproportionately affects American Indian, African American, Mexican American, and Pacific Islander youth.3–5 In 15- to 19-year-old Pima Indians of Arizona, the prevalence of type 2 diabetes is 5%.3 In several clinic-based studies, the percentage of children with newly diagnosed diabetes who are classified as having type 2 diabetes has risen from <5% before 1994
Reprint requests to National IHS Diabetes Program, 5300 Homestead Rd NE, Albuquerque, NM 87110. E-mail: kelly.moore@mail.ihs.gov
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