Diabetes in adolescent patients: diagnostic dilemmas

Indian Journal of Pediatrics
L A BrickerD E Greydanus

Abstract

The classification of diabetes mellitus by types (1 or 2), or by age of onset (juvenile or adult), helps to clarify many aspects of pathophysiology, prognosis, and therapy. However, less-commonly encountered patients, presenting in childhood or adolescence, may not fit neatly into one or the other group. These include teenagers who present with new-onset diabetes with ketoacidosis, but who are later able to be managed permanently as type 2 patients. Other adolescent patients present with only minimal glucose intolerance, then proceed to develop type 1 diabetes, with evidence of autoimmune etiology, after a variable number of years. Four patients are presented to illustrate these diagnostic dilemmas.

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Citations

Feb 10, 2006·Current Medical Research and Opinion·Eva M Vivian
Mar 9, 2005·Journal of Pediatric Endocrinology & Metabolism : JPEM·Jennifer L Miller, Janet H Silverstein
Oct 15, 2009·The Keio Journal of Medicine·Donald E Greydanus, Daniel Shek

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