Maple-Brown, Louise J., Sinha, Ashim K., and Davis, Elizabeth A. (2010) Type 2 diabetes in Indigenous Australian children and adolescents. Journal of Paediatrics and Child Health, 46 (9). pp. 487-490.

PDF (Published Version) - Published Version Restricted to Repository staff only

 

24

1

Abstract

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.

Actions (Repository Staff Only)

Item Control Page