1. Diabetes tipo 2 en niños. Serie de casos.
- Author
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Manrique-Hurtado, Helard, Aro-Guardia, Pedro, and Pinto-Valdivia, Miguel
- Subjects
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TYPE 2 diabetes risk factors , *HYPOGLYCEMIC agents , *BLOOD sugar , *CARDIOVASCULAR diseases risk factors , *DIABETES , *PEOPLE with diabetes , *FISHER exact test , *GLYCOSYLATED hemoglobin , *HOSPITALS , *HYPERGLYCEMIA , *INSULIN resistance , *RESEARCH methodology , *METABOLIC regulation , *TYPE 2 diabetes , *PEDIATRICS , *PROBABILITY theory , *T-test (Statistics) , *BODY mass index , *RETROSPECTIVE studies , *DISEASE duration , *FAMILY history (Medicine) , *DATA analysis software , *DESCRIPTIVE statistics , *MANN Whitney U Test , *CHILDREN , *SYMPTOMS - Abstract
Objectives: To describe clinical and biochemical features of children and adolescents with recent onset type 2 diabetes mellitus. Methods: Retrospective study that included children or adolescents with fasting glucose above 126 mg/dl, absence of antiGAD and C peptide above 1.5 ng/dl. Patients with previous diagnosis of type 1 diabetes, diabetes type MODY or drug associated diabetes were excluded. Results: Mean age was 14.3 years; 59% were females, and 43% had at least one parent with type 2 diabetes. At the time of diagnosis, the body mass index was 32.8 kg/m2; 85% had acanthosis nigricans and 68% had Tanner stage IV or V. Initial treatment included oral hypoglycemic drugs in 75%, metformin was the most common drug used (64.3%). Only 41% of cases received insulin. Conclusions: Children and adolescents with type 2 diabetes in this setting have a high frequency of obesity, acanthosis nigricans and family history of type 2 diabetes. In general, these patients have poorly metabolic control and receive metformin as initial treatment. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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