Clark Pamela A
McLeod Health, 901 E. Cheves St., Suite 420, Florence, SC 29506, USA.
J S C Med Assoc. 2009 Apr;105(2):51-4.
The rise in type 2 diabetes in children and adolescents is occurring at a rapid rate. Screening for at risk individuals beginning at or around age 10 and treatment in the phase of insulin resistance is recommended as a prevention measure. For those with overt type 2 diabetes, attention to overall glucose control, prevention of micro- and macro-vascular complications, and assessment of lipids and blood pressure are necessary, along with close monitoring of medication side effects, especially of medications not traditionally used in pediatrics.
儿童和青少年2型糖尿病的发病率正在迅速上升。建议从10岁左右开始对高危个体进行筛查,并在胰岛素抵抗阶段进行治疗,作为预防措施。对于那些患有显性2型糖尿病的患者,除了密切监测药物副作用,尤其是儿科传统上不使用的药物的副作用外,还需要关注整体血糖控制、预防微血管和大血管并发症以及评估血脂和血压。