Type 2 diabetes in Indigenous Australian children and adolescents

Louise Maple-Brown, Ashim Sinha, Elizabeth Davis

    Research output: Contribution to journalArticle

    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. � 2010 Paediatrics and Child Health Division (Royal Australasian College of Physicians).
    Original languageEnglish
    Pages (from-to)487-490
    Number of pages4
    JournalJournal of Paediatrics and Child Health
    Volume46
    Issue number9
    DOIs
    Publication statusPublished - 20 Sep 2010

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