Читать книгу Type 2 Diabetes in Children and Adolescents - Arlan L. Rosenbloom - Страница 12

Nonobese individuals who are not African American are very likely to have type 1 diabetes and seldom require further testing.

TABLE 8. Differentiating Type 1 from Type 2 Diabetes in Children and Adolescents

Nonobese African American youths with a three-generation history of diabetes suggestive of autosomal-dominant transmission and without islet cell autoimmunity markers likely have ADM.

In obese patients, islet cell autoimmunity testing should be considered. If this is not practical, or if the patient has acanthosis nigricans, the diagnosis can usually be clarified during the first several months by reducing and, if glycemic goals obtained, stopping acutely required insulin, with weight reduction, exercise, and, as necessary, oral hypoglycemic therapy.