What is type 2 diabetes?
type 2 diabetes in children
In a child with type 2 diabetes, the body is either resistant to insulin or it cannot produce enough.
Type 2 diabetes is a chronic condition characterized by high levels of blood sugar, or glucose.
The pancreas produces a hormone called insulin that helps to control the amount of sugar in the blood.
In a person with type 2 diabetes, either the body does not produce enough insulin, or it does not respond to the hormone appropriately, and this is called insulin resistance.
In the past, the medical community called type 2 diabetes either adult-onset diabetes or non-insulin dependent diabetes. However, the condition is affecting an increasing number of children and adolescents, as rates of obesity continue to rise.
According to the National Center for Chronic Disease Prevention and Health Promotion, doctors in the United States diagnosed around 5,300 children and adolescents aged 10–19 years with type 2 diabetes between 2011 and 2012.
Type 2 diabetes is a long-term illness that can lead to serious complications if a person does not receive treatment. At the moment, there is no cure.
Type 2 diabetes often has a slow, gradual onset. Because of this, it can be difficult to detect in children.
General signs and symptoms of both types of diabetes are similar. Children and adults may experience:
Increased urination. When there is an excess of sugar in the blood, the kidneys have to work harder to absorb and filter it. This can result in increased urination.
Increased thirst. Increased urination can cause dehydration. A person may feel especially thirsty and need to drink more than usual.
Fatigue. When the body is less able to use blood sugar properly, this can cause fatigue, as can many issues that may be common in people with diabetes, such as dehydration.
Blurred vision. High blood sugar levels can draw fluid from the lenses of the eyes, making it more difficult to focus.
Darkened skin. Insulin resistance can cause certain areas of skin to darken. The medical term for this is acanthosis nigricans, and it often affects the armpits and the back of the neck.
Wounds healing slowly. High blood sugar levels can lead to longer healing times for sores and skin infections.
Causes and risk factors
obesity causes type 2 diabetes in children
Obesity causes insulin resistance, which increases the risk of type 2 diabetes.
Anyone can develop type 2 diabetes, including children. The condition is more likely to develop in adults and children who are overweight or obese.
Obesity increases the risk of type 2 diabetes by causing insulin resistance. This occurs when organs and tissues do not respond appropriately to insulin and do not absorb enough sugar from the blood.
Insulin resistance results in high blood sugar levels, a lower tolerance for glucose, more inflammation, and an overproduction of glucose in the liver.
Authors of a study from 2017 found that children and adults below the age of 25 who fell into the body mass index ranges for obesity were four times more likely to develop type 2 diabetes than those in the normal ranges.
Other risk factors for type 2 diabetes in children include:
having a parent or sibling with the condition, because it has a genetic component
being of Asian, Pacific Islander, African, Native American, or Latino descent
having signs of insulin resistance, such as acanthosis nigricans