Type 2 Diabetes in Childhood and Adolescence: A Global Perspective

By Martin Silink; Kaichi Kida et al. | Go to book overview
Save to active project

chapter 4

Type 2 diabetes in children and adolescents in Asia

Kaichi Kida


Introduction

Type 2 diabetes, the predominant type of diabetes in adults, was previously thought to seldom develop in children and adolescents. It is, however, rapidly emerging not only in children and adolescents of particular high-risk ethnic groups but also in Caucasians in parallel with a change of lifestyle in recent decades. Furthermore, type 2 diabetes is now the major type of diabetes in children and adolescents in some high-risk ethnic groups. 1-9 In Asian countries, lifestyles of children and adolescents, as well as those of adults, have changed rapidly, resulting in less physical activity and more fat intake. Consequently, obesity, which is a major risk factor for type 2 diabetes, has steeply increased in children and adolescents. 10,11 The threshold of body mass index (BMI) for the risks of cardiovascular diseases and type 2 diabetes (which are based on insulin resistance) is lower in Asian populations than Caucasian populations, suggesting a genetic predisposition to insulin resistance in Asian populations. 12,13 Loading of these environmental and genetic risk factors for type 2 diabetes in Asian populations is reflected both by the high frequency of childhood and adolescent type 2 diabetes and by its rapid increase in Asian populations, shown by some population-based and hospital-based studies.

Chronic complications develop in children and adolescents with type 2 diabetes as or more quickly than in those with type 1 diabetes. Therefore, an intensive intervention program to promote healthy

-51-

Notes for this page

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
Loading One moment ...
Project items
Notes
Cite this page

Cited page

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

Cited page

Bookmark this page
Type 2 Diabetes in Childhood and Adolescence: A Global Perspective
Settings

Settings

Typeface
Text size Smaller Larger
Search within

Search within this book

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

While we understand printed pages are helpful to our users, this limitation is necessary to help protect our publishers' copyrighted material and prevent its unlawful distribution. We are sorry for any inconvenience.
Full screen
/ 264

matching results for page

Cited passage

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.

Are you sure you want to delete this highlight?