Type two diabetes in kids

By Sue Hecht, Registered Dietitian, PAHCS
The prevalence of being overweight and obesity in U. S. children has recently been described as an epidemic. The proportion of children with weight problems has tripled in the past three decades. With the increase in obesity, the prevalence of Type 2 Diabetes in children and adolescents has also increased. Type 2 Diabetes, also called adult on-set diabetes, has previously been an adult disease. Less than 2% of the children and adolescents were diagnosed with this disease. New reports indicate that 8-45% (variance is due to ethnic background) of children will now develop Type 2 diabetes. The average of on-set diabetes in children is 12-16 years.

Some clinical features a person can use to screen their children are:
• Obesity
• Family History: One or more parents with Type 2 Diabetes, or a 1st or 2nd degree relative with Type 2 Diabetes
• "Acanthosis Nigricans:" Velvety brown patches in the skin, usually found around the neck, waist, or arm pits
• Polycystic Ovarian Syndrome
• High blood pressure or elevated cholesterol already present
• Ethnic background: More prevalent in African American, Hispanic, American Indian, Asian, or Pacific Islander populations.

If you are concerned about your child and wish to have him/her screened, contact your local physician. High-risk children should be screened every two years from 10 years on up. The diagnosis of Type 2 Diabetes in children can be delayed or prevented if found early. Treatment consists of medical nutrition therapy, physical activity, and weight loss. Paynesville Area Health Care System has a recognized diabetes team on staff that can assist you in the treatment of your child. Call 320-243-3779 for more information.

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