The Increasing Prevelance of Type 2 Diabetes

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Until recently, the common type of diabetes in children and teens was the type 1, little wonder it was called juvenile diabetes. Type 1 diabetes mellitus (T1DM) is one of the most common chronic, unremitting medical conditions that develop in childhood or adolescence. There is a bimodal age of onset, with the first peak at 4 to 6 years and the second peak in early adolescence. But now younger people are also getting type 2 diabetes. Type 2 diabetes used to be called adult-onset diabetes. But now it is becoming more common in children and teens, due to more obesity. How common is it? Childhood diabetes isn't common, but there are marked variations around the world: • in England and Wales, 17 children per 100,000 develop diabetes each year • in Scotland, the figure is 25 per 100,000 • in Finland, it's 43 per 100,000 • in Japan, it's 3 per 100,000. • About 1 in every 1000 children in Australia has diabetes. • The recorded incidence of type 1 diabetes among children aged 0-14 in Nigeria is 2.9 per 100,000 children per year (IDF Diabetes Atlas, 5th edition). The point here is not that children in African countries don’t get type 1 diabetes. The point is that very few of them survive to be diagnosed. The last 30 years has seen a threefold increase in the number of cases of childhood diabetes. In Europe and America, Type 2 diabetes has been seen for the first time in young people. This is probably in part caused by the increasing trend towards obesity in our society. But obesity doesn't explain the increase in the numbers of Type 1 diabetes in children - who make up the majority of new cases. Peculiarity of diabetes in children Diabetes is more than a health condition. For most children, it’s a new way of life, and... ... middle of paper ... ...ually arises as teenagers and adolescents have trouble accepting their own bodies, this is worsened with isolation which usually leads to low self esteem. Several studies reported that the personal impact of fluctuating visual acuity were worse off on several measures of psychosocial functioning than those with more severe, but stable impairment. Medical Intervention A whole-person approach should be adopted. Explore the social situation, attitudes, beliefs, and worries related to diabetes and self-care issues. Assess well-being and psychological status (including cognitive dysfunction) periodically by questioning or validated measures. However a mental health specialist (psychologist) should be included in the multidisciplinary diabetes care team for periodic assessment, and to provide more comprehensive psychological assessment, if indicated

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