Type 2 Diabetes in Children and Adolescents

Type 2 Diabetes in Children and Adolescents
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Описание книги

Epidemiology of type 2 diabetes in youth, including evidence for and magnitude of the epidemic; pathophysiology in youth, case-finding criteria, and when to consider the possibility of type 2; and how to diagnose and treat diabetes in children and adolescents.

Оглавление

Arlan L. Rosenbloom. Type 2 Diabetes in Children and Adolescents

Contents

Acknowledgments

C H A P T E R 1. Introduction

REFERENCES

C H A P T E R 2. Diagnosis and. Classification of. Diabetes in Children. DEFINITION

CLASSIFICATION

Uncertainties of Classification

What Is the Magnitude of Possible Misclassification?

DIAGNOSTIC STRATEGY

Acute Onset

Insidious Onset

REFERENCES

C H A P T E R 3. Epidemiology of. Type 2 Diabetes and. Obesity in Children. EVIDENCE FOR AN EPIDEMIC OF TYPE 2. DIABETES IN CHILDREN (TABLES 9–11) North America

THE EPIDEMIC OF OBESITY. United States

International

REFERENCES

C H A P T E R 4. Causes of the Insulin. Resistance Syndrome. and Type 2 Diabetes. METABOLIC PATHOLOGY

GENETIC BASIS FOR INSULIN RESISTANCE AND TYPE 2 DIABETES

Evidence that Type 2 Diabetes Is a Genetic Disease (4)

Types of Inheritance

Identifying Type 2 Diabetes Susceptibility Genes (5,6)

ROLE OF FETAL AND CHILDHOOD NUTRITION. Studies in Adults

Studies in Children and Youth

Explanations for the Influence of Birth Weight on Insulin Sensitivity

Genetic Factors Affecting Birth Weight that Suggest a Relationship to Glucose Metabolism

ROLE OF MATERNAL DIABETES

POLYCYSTIC OVARIAN SYNDROME AND PREMATURE ADRENARCHE

RACIAL AND FAMILIAL INFLUENCES

PUBERTY AND INSULIN RESISTANCE

OBESITY AND INSULIN RESISTANCE: THE ESSENTIAL PROBLEM

THE INSULIN RESISTANCE SYNDROME (51)

Obesity

Dyslipidemia (61)

Atherosclerosis (62)

Hypertension (63)

Acanthosis Nigricans

REFERENCES

C H A P T E R 5. Case Finding: Who Should Be Tested? EPIDEMIOLOGIC CRITERIA FOR CASE FINDING

TESTING RECOMMENDATIONS

REFERENCES

C H A P T E R 6. Is Type 2 Diabetes in. Children Preventable? The Individual and. Community Challenge. DEFINITIONS (1) Primary Prevention/Intervention

Secondary Prevention/Intervention

Tertiary Prevention/Intervention

PRIMARY PREVENTION/INTERVENTION. Justification for Intervention in Childhood

Problems in Implementation

Approaches

SECONDARY PREVENTION/INTERVENTION

Behavior Modification in Pre-diabetes

Medication (7,25)

Surgery (27)

REFERENCES

C H A P T E R 7. Treatment. INTRODUCTION

TREATMENT GOALS

TREATMENT PRINCIPLES

BEHAVIORAL CHANGE

AVAILABLE HYPOGLYCEMIC AGENT

Biguanides (9)

Sulfonylurea and Meglitinide/Repaglinide (11)

Thiazolidinediones (Glitazones) (12)

α-Glucosidase Inhibitors (14)

Insulin

TREATMENT RECOMMENDATIONS

TREATMENT OF COMORBIDITIES. Hypertension

Hyperlipidemia

Other Considerations (19)

REFERENCES

C H A P T E R 8. Patients

PATIENT 1: AN 11-YEAR-OLD PREPUBERTAL FEMALE WITH ASYMPTOMATIC DIABETES

Comments

PATIENT 2: A 13-YEAR-OLD MALE WITH MISSED DIAGNOSIS AND FATAL HYPEROSMOLAR STATE

Comments

PATIENT 3: A 15-YEAR-OLD MALE WITH HYPEROSMOLAR STATE AND FATAL HYPOKALEMIA

Comments

PATIENT 4: A 13-YEAR-OLD WITH VAGINAL MONILIASIS

Comments

PATIENT 5: A 13.5-YEAR-OLD FEMALE DEVELOPING KETOACIDOSIS AFTER 6 MONTHS OF NONCOMPLIANCE

Comments

PATIENT 6: A 15-YEAR-OLD GIRL DIAGNOSED WITH TYPE 1 DIABETES AT 11 YEARS OF AGE

Comments

PATIENT 7: AN 11.5-YEAR-OLD MALE WITH TYPICAL SIGNS AND SYMPTOMS OF DIABETES

Comments

PATIENT 8: A 7.5-YEAR-OLD BOY WITH HYPEROSMOLAR STATE

Comments

PATIENT 9: A 17-YEAR-OLD MALE DIAGNOSED WITH TYPE 1 DIABETES AT 11 YEARS OF AGE

Comments

About the American Diabetes Association

Отрывок из книги

Type 2

Diabetes

.....

Swedish study of all individuals 15–34 years old with newly diagnosed diabetes over a two-year period (n = 764) who were tested for ICA, GADA, and IA/2A (11) found

76% classified type 1, 14% type 2, and the rest unclassified

.....

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