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Traditionally considered an adult disorder, type 2 diabetes in children has been steadily increasing in the past several years. This easy-to-read reference presents a succinct overview of clinically-focused topics covering diagnosis, treatment, management, and complications of type 2 diabetes mellitus in pediatric patients. An ideal reference for both pediatric endocrinologists as well as pediatricians, it's an excellent overview of this fast-changing and complex field. - Covers clinical presentation, diagnostic criteria, screening, and other topics related to diagnosis. - Discusses complications such as hypertension, retinopathy, depression, PCOS, fatty liver, and more. - Includes information on medications, lifestyle interventions, and surgical treatment. - Consolidates today's available information and experience in this timely area into one convenient resource.
Currently, available information on pediatric and adolescent diabetes is limited to chapters in larger books covering the broader topic of pediatric endocrinology, and these do not have the space to delve into specific topics. This concise, timely book contains everything that a practicing provider needs to know in order to provide comprehensive, up-to-date care for children and adolescents with diabetes, from the latest methods for diagnosing various types of diabetes to integrating cutting-edge technology in the care of this patient population. Initial management, the use of insulin pumps, continuous glucose monitoring, and automated insulin delivery are discussed in detail, as are nutrition therapy, exercise, psychosocial challenges, acute and long-term complications, and future directions for treatment and research. Further, this book provides clinicians with guidelines for the implementation of best practices as outlined by leading associations such as the American Diabetes Association (ADA) and International Society of Pediatric and Adolescent Diabetes (ISPAD). The Yale Children’s Diabetes Program has been ranked among the best in the United States, including clinicians and researchers who are world-renowned for their efforts in improving the care of children with diabetes. This wealth of knowledge and experience positions the author team well as experts in this field.
As a consequence of the obesity epidemic, the prevalence of type 2 diabetes in children and adolescents is increasing. For medical trend watchers and health care professionals alike, this groundbreaking book covers epidemiology of type 2 diabetes in youth; pathophysiology of type 2 in youth; case-finding criteria; early recognition of risk factors; prevention of obesity in this population; and more.
Nearly 100 of the world's leading medical researchers and clinicians share their expertise on the diagnosis, treatment, and care of people with diabetes mellitus. This newly revised sixth edition is a comprehensive guide to type 1, type 2, and gestational diabetes. New diabetes treatment strategies include medical nutrition therapy with diabetes diet and exercise programs. This guide covers the latest research on diabetes medication and technology with insulin-pump therapy, insulin secretagogues, incretin mimetics, and medications for obesity, as well as advances in diabetes prevention. Family care topics include diabetes in pregnancy, diabetic ketoacidosis, childhood obesity, and type 2 diabetes in children. Other topics include glycemic control, diabetes complications and comorbidities, diabetes mellitus therapy in different patient groups, and much more. This is an excellent resource for physicians seeking to provide the most current treatment for their patients. Therapy for Diabetes Mellitus and Related Disorders is the most comprehensive clinical reference work available on the disease.
The epidemiology of diabetes in children and adolescents is changing, which carries profound implications for how clinicians screen, assess, and manage the worldwide epidemic of this chronic disease. This work offers insights and recommendations to clinicians on how to better care for this growing patient population.
The management of type 2 diabetes in children and adolescents is complex and poses a range of unique challenges. Treatment may involve weight reduction, lifestyle modification, exercise programs, and medications to treat hyperglycemia. However, few of the drugs used in the treatment of type 2 diabetes and even fewer of those used to reduce the risk of cardiovascular disease have been licensed for use in children and adolescents. A state-of-the-art resource, this book provides a comprehensive review of current research and developments. International experts address the interrelationship of diabetes, obesity, insulin resistance and the metabolic syndrome; the spectrum of clinical features and diagnostic issues; the epidemiology, pathophysiologic basis, genetics of this disorder; and its treatment in children and adolescents.
"Caring for diabetes in children and adolescents is a challenging task for families and their health professionals. Education and knowledge are essential elements in being able to look after your child’s diabetes from day to day and in special situations. This resource aims to provide this information for you. It will help you revise and build on your knowledge from your diabetes education and also serve as a ready reference when new situations arise."--Publisher's website.
The future of persons with Type 1 Diabetes Mellitus is continuing to "look brighter" with the advent of biomedical technology. Nevertheless, the acute consequences of this disease remains a significant threat.Diabetic ketoacidosis [DKA] remains the most serious challenge for primary care physicians and subspecialists caring for children and young persons with Diabetes Mellitus. Its prevention is possible only among those already diagnosed. Awareness of the etiology and clinical presenting signs among children of all ages is requisite for primary care and emergency department staff [Chapter 1]. While more likely to occur among those with Type 1 diabetes, a significant proportion of children with Type 2 diabetes are also at risk [Chapter 3]. Once diagnosed, the physician team must understand not only what biochemical imbalances must be corrected, but also what life-threatening complications must be avoided [Chapter 1]. The path through that "maze" is not yet fully interpreted; many choices remain as options, but each must be carefully evaluated. Diagnosis among the very young is a challenge because of they lack self-awareness and clarity of signs and symptoms [Chapter 2]. Education of the primary care staff is critical and able to alter the incidence of DKA at the time of diagnosis. Institutions that treat children and adolescents with DKA need an informed Emergency Department as well as Pediatric Intensive Care Facilities. Access to appropriate consultations, such as pediatric endocrinology, cardiology, neurology and neurosurgery are crucial. The initiation of care is critical, and occurs invariably in the Emergency Department [Chapter 4]. Meticulous documentation of fluid composition and volume, insulin administration, vital signs and neurological state of well-being is essential. These will facilitate the transition to the appropriate in-patient service, whose task is to understand the biological impact of fluid rehydration and fluid flux, as well as hypocapnea, hyperglycemia and cranial perfusion [Chapter 5]. The current standards of care all but prevent most of the varied biochemical complications of "appropriate" care for persons with DKA. However, awareness of these possibilities is crucial [Chapter 6]. Yet, one complication remains unexplained and too often unpredicted, and it is devastating to the pediatric patient: cerebral edema. This complication, its prevention and treatment are discussed [Chapter 6]. Type 2 diabetes mellitus is continuing to increase in incidence and prevalence among all ages. Once thought to be "non-ketosis prone" diabetes, now persons undiagnosed or previously diagnosed do obtain DKA. They, however, have other unique medical requirements that must be applied to their treatment [Chapter 3]. Hyperglycemic hyperosmolar state is a complication no longer limited to adults with diabetes or children with Type 2 diabetes mellitus. While the incidence is fortunately lower than that of DKA, its outcome is potentially direr. Appreciation of the unique treatment requirements and guidelines are discussed [Chapter 7]. This monograph provides a comprehensive compendium to those caring for children of all ages with diabetic ketoacidosis, its related disorders and associated conditions.
This report uses data from the Growing Up in Scotland study (GUS) to explore families' experiences of using childcare for children under the age of five years.