[Type 2 diabetes among adolescents in Israel].
Type 2 diabetes has been considered rare in children and adolescents. Recently, increase in the incidence of type 2 diabetes has been reported among adolescents in various parts of the world. We report the occurrence of type 2 diabetes among adolescents in Israel. A boy of 14 and girls of 16.5 and 17 were pubertal and extremely obese, with a body mass index (BMI) between 39-47 kg/m2. Acanthosis nigricans, elevated diastolic blood pressure, and hirsutism with menstrual disorders, were associated with insulin resistance, and should raise suspicion of type 2 diabetes. Significant obesity and strong family histories of type 2 diabetes appeared to be important risk factors. Since type 2 leads to long-term morbidity and mortality, its early identification and appropriate treatment are crucial.
Pinhas-Hamiel
O
O
Maccabi Juvenile Diabetes Center, Ramat Hasharon, Haifa.
Koren
I
I
Vardi
P
P
D000293:Adolescent; D015992:Body Mass Index; D003920:Diabetes Mellitus / Q000097:blood / Q000175:diagnosis / Q000503:physiopathology*; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000175:diagnosis / Q000503:physiopathology*; D005260:Female; D006801:Humans; D007333:Insulin Resistance; D007557:Israel; D008297:Male; D009765:Obesity; D011627:Puberty