Emergence of type 2 diabetes mellitus in children: epidemiological evidence.

摘要: There have been numerous recent reports of case series type 2 diabetes mellitus (DM) in American Indian, African-American, Hispanic, Asian-American and white children from North America. A similar phenomenon has also described several other countries. Prevalence incidence estimates vary depending on the age ethnicity population, but it is estimated that DM represents 8-45% patients with currently diagnosed large US pediatric centers; however, this likely to be an underestimation probably rising. The young USA were generally overweight, had a strong family history often signs insulin resistance. majority belonged ethnic groups at high risk for DM. More girls than boys diagnosed. few data follow-up available suggest prevalence microvascular macrovascular complications among adults who developed during childhood. Type recently recognized as potential public health problem As obesity increase industrialized or industrializing countries, may soon emerge worldwide, will require preventative measures.