PMID- 16370570 OWN - NLM STAT- MEDLINE DCOM- 20060126 LR - 20191026 IS - 0391-4097 (Print) IS - 0391-4097 (Linking) VI - 28 IP - 9 DP - 2005 Oct TI - Type 2 diabetes mellitus in children and adolescents. PG - 853-63 AB - Over the last decade, there has been an alarming increase of Type 2 diabetes mellitus (T2DM) in youths, concomitant with the rise of obesity in this age group. T2DM is a progressive disease with a gradual increase in insulin resistance associated later with a decline in insulin secretion with fasting hyperglycemia. Prevalence of T2DM in children is mostly linked to some risk factors: obesity and sedentary lifestyle, puberty, membership of ethnic minorities, features of insulin resistance, family history of T2DM, female gender and perinatal factors. Prevention is essential and can be considered a public health approach directed to the general population. Treatment of T2DM in youth is complex and based on different strategies: diet, exercise and pharmacotherapy. An appropriated intervention program must be started early, in order to prevent or retard the progression of the disease and associated comorbidities. FAU - Marcovecchio, M AU - Marcovecchio M AD - Department of Pediatrics, University of Chieti, Italy. FAU - Mohn, A AU - Mohn A FAU - Chiarelli, F AU - Chiarelli F LA - eng PT - Journal Article PT - Review PL - Italy TA - J Endocrinol Invest JT - Journal of endocrinological investigation JID - 7806594 SB - IM MH - Acanthosis Nigricans/epidemiology MH - Adolescent MH - Child MH - Comorbidity MH - Diabetes Mellitus, Type 2/*drug therapy/*epidemiology/physiopathology/*prevention & control MH - Female MH - Humans MH - Insulin Resistance MH - Life Style MH - Male MH - Obesity/complications MH - Polycystic Ovary Syndrome/epidemiology/etiology MH - Puberty MH - Risk Factors MH - Sex Factors RF - 79 EDAT- 2005/12/24 09:00 MHDA- 2006/01/27 09:00 CRDT- 2005/12/24 09:00 PHST- 2005/12/24 09:00 [pubmed] PHST- 2006/01/27 09:00 [medline] PHST- 2005/12/24 09:00 [entrez] AID - 3096 [pii] AID - 10.1007/BF03347581 [doi] PST - ppublish SO - J Endocrinol Invest. 2005 Oct;28(9):853-63. doi: 10.1007/BF03347581.