Editorials

Type 2 diabetes in children

BMJ 2001; 322 doi: https://doi.org/10.1136/bmj.322.7283.377 (Published 17 February 2001) Cite this as: BMJ 2001;322:377

Exemplifies the growing problem of chronic diseases

  1. Anne Fagot-Campagna, medical epidemiologist,
  2. K M Venkat Narayan, chief, diabetes epidemiology section (kav4@cdc.gov),
  3. Giuseppina Imperatore, medical epidemiologist
  1. Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Mailstop K-68, Atlanta, GA 30341, USA

    Type 2 diabetes mellitus in children is an emotionally charged issue and an emerging public health problem. 1 2 Until recently most children with diabetes mellitus had type 1, one of the most common3 and increasingly prevalent4 chronic diseases in children. Increasingly, however, type 2 diabetes is being reported in children from the United States, Canada, Japan, Hong Kong, Australia, New Zealand, Libya, and Bangladesh.5

    The prevalence of type 2 diabetes in children ranges from 4.1 per 1000 12-19 year olds in the US to 50.9 per 1000 15-19 year old Pima Indians of Arizona. 1 2 Between 8% and 45% of recently diagnosed cases of diabetes among children and adolescents in the United States is type 2, and the magnitude of this disease may be underestimated. 1 2 The prevalence of the disease is on the rise in North America, and its incidence almost doubled in Japan between 1976-80 and 1991-5—from 7.3 to 13.9 per 100 000 junior high school children.5 These trends coincide with the rising prevalence of overweight and physical …

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