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儿童及青少年2型糖尿病的管理

Management of pediatric and adolescent type 2 diabetes.

作者信息

Samaan M Constantine

机构信息

Department of Pediatrics, Division of Pediatric Endocrinology, McMaster Children's Hospital, McMaster University, 1280 Main Street West, Room 3A-57, Hamilton, ON, Canada L8S 4K1.

出版信息

Int J Pediatr. 2013;2013:972034. doi: 10.1155/2013/972034. Epub 2013 Oct 23.

Abstract

Type 2 diabetes (T2D) was an adult disease until recently, but the rising rates of obesity around the world have resulted in a younger age at presentation. Children who have T2D have several comorbidities and complications reminiscent of adult diabetes, but these are appearing in teens instead of midlife. In this review, we discuss the clinical presentation and management options for youth with T2D. We discuss the elements of lifestyle intervention programs and allude to pharmacotherapeutic options used in the treatment of T2D youth. We also discuss comorbidities and complications seen in T2D in children and adolescents.

摘要

直到最近,2型糖尿病(T2D)还是一种成人疾病,但全球肥胖率的上升导致其发病年龄越来越小。患有T2D的儿童有几种合并症和并发症,让人联想到成人糖尿病,但这些情况出现在青少年身上,而非中年时期。在本综述中,我们讨论了青少年T2D的临床表现和管理选择。我们讨论了生活方式干预项目的要素,并提及用于治疗青少年T2D的药物治疗选择。我们还讨论了儿童和青少年T2D中出现的合并症和并发症。

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