Giuseppina Imperatore, Desmond E Williams, and Frank Vinicor
Traditionally, diabetes mellitus in youth was thought to be almost esclusively type 1 diabetes, but there have been increasing numbers of reports of type 2 diabetes among youth in the last 30 years. In 1971, Dr Harvey Knowles wrote:
A second type of diabetes in young persons closely resembles that of the stable middle-aged onset type. Herein the patients as a rule have no symptoms, are overweight, can secrete insulin, and respond to sulfonylurea therapy. Often the diagnosis is made serendipitously. In the Juvenile Diabetic Clinic at the Cincinnati General Hospital 11 of these patients have been followed along with 300 patients with the unstable insulin deficient type of diabetes. The age of these 11 patients at diagnosis ranged from 11 to 17 years. The prevalence of this type of diabetes very likely is higher than presently appreciated, because of lack of symptoms or signs leading to suspicion of diabetes. 1
Type 2 diabetes is increasingly being reported, especially in minority populations. 2-6 Type 2 diabetes has been reported in youth from the United Kingdom, 5,6 Japan, 7,8 Hong Kong, 9 Bangladesh, 10 Libya, 11 Australia, 12 and New Zealand. 13
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Publication information: Book title: Type 2 Diabetes in Childhood and Adolescence: A Global Perspective. Contributors: Martin Silink - Editor, Kaichi Kida - Editor, Arlan L Rosenbloom - Editor. Publisher: Martin Dunitz. Place of publication: London. Publication year: 2003. Page number: 37.
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