Comorbidities and microvascular complications of type 2 diabetes in children and adolescents*

Authors

  • Heather J Dean,

    Corresponding author
    1. Department of Pediatrics & Child Health, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
      Heather J Dean, MD
      Department of Pediatrics & Child Health
      Faculty of Medicine
      University of Manitoba
      Winnipeg
      Manitoba R3E OZ2
      Canada.
      Tel: +1 204 787 1316;
      fax: +1 204 787 1655;
      e-mail: hdean@exchange.hsc.mb.ca
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  • Elizabeth AC Sellers

    1. Department of Pediatrics & Child Health, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
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  • *

    The aboriginal people in Canada include First Nations, Inuit and Metis people. The First Nations tribes vary across Canada in language and cultural heritage. The First Nations youth in this paper are mainly from the Oji-Cree language group.

Heather J Dean, MD
Department of Pediatrics & Child Health
Faculty of Medicine
University of Manitoba
Winnipeg
Manitoba R3E OZ2
Canada.
Tel: +1 204 787 1316;
fax: +1 204 787 1655;
e-mail: hdean@exchange.hsc.mb.ca

Abstract

Abstract:  The comorbidities of type 2 diabetes in children and adolescents are mainly related to coexistent insulin resistance and compounded by poverty. The prevalence of dyslipidemia, fatty liver, and hypertension may not be higher than the rates in obese children and adolescents, but the stakes are higher in children with diabetes because the diabetes confers a higher cardiovascular risk. This risk is exaggerated further in children with poor hygiene, smoking, and primary renal disease. Sexuality, contraception, preconception counseling, and psychiatric conditions require unique considerations in youth with type 2 diabetes.

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