Type 2 diabetes in Indigenous Australian children and adolescents
Article first published online: 20 SEP 2010
© 2010 The Authors. Journal of Paediatrics and Child Health © 2010 Paediatrics and Child Health Division (Royal Australasian College of Physicians)
Journal of Paediatrics and Child Health
Special Issue: Special Indigenous Health Issue
Volume 46, Issue 9, pages 487–490, September 2010
How to Cite
Maple-Brown, L. J., Sinha, A. K. and Davis, E. A. (2010), Type 2 diabetes in Indigenous Australian children and adolescents. Journal of Paediatrics and Child Health, 46: 487–490. doi: 10.1111/j.1440-1754.2010.01844.x
- Issue published online: 20 SEP 2010
- Article first published online: 20 SEP 2010
- Accepted for publication 21 December 2009.
- Indigenous Australian;
- type 2 diabetes;
- youth obesity
Rates of type 2 diabetes are higher among Indigenous than non-Indigenous Australian children and adolescents. Presentation may be incidental, part of obesity investigation, symptomatic (polyuria and polydipsia) or in ketoacidosis. Investigation should include assessment of fasting insulin, c-peptide and autoantibodies, as well as assessment of diabetes complications and co-morbidities. Management is a challenge, particularly in a resource-limited setting. Management should involve the whole family and, in some cases, extended family, and community, local health-care providers are key, and a multidisciplinary team approach is essential. The primary initial intervention involves life-style change, but medications (oral and insulin) are frequently necessary. Screening of high-risk individuals is recommended. Waist circumference is a key component of risk assessment. Prevention strategies targeting children and adolescents from this high-risk population are urgently required.