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Non-Insulin Dependent Diabetes in Children and Adolescents: The Therapeutic ChallengeDepartment of Pediatrics, School of Medicine, University of California, San Diego, La Jolla, CA Data are presented comparing non-insulin dependent diabetes mellitus (NIDDM) and insulin dependent diabetes mellitus (IDDM) in youth. Children and adolescents with NIDDM were predominantly Mexican-American, presented less frequently in ketoacidosis, had a greater frequency of family history of diabetes, had higher BMIs (27.4 vs 16.6 kg/m2), and had higher frequency of acanthosis nigricans (67% vs 1.2%). Logistical, social, and cultural challenges facing the physician treating children and adolescents with NIDDM are discussed, and treatment options for NIDDM in youth are briefly reviewed. Clin Pediatr. 1998;37:103-110
Clinical Pediatrics, Vol. 37, No. 2,
103-110 (1998) |
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