PMID- 22139556 OWN - NLM STAT- MEDLINE DCOM- 20120522 LR - 20211021 IS - 1539-0829 (Electronic) IS - 1534-4827 (Linking) VI - 12 IP - 1 DP - 2012 Feb TI - Type 2 diabetes in childhood: clinical characteristics and role of beta-cell autoimmunity. PG - 75-81 LID - 10.1007/s11892-011-0247-2 [doi] AB - The global obesity epidemic has led to dramatic increases in the incidence and prevalence of type 2 diabetes mellitus (T2DM) among youth worldwide. In today's clinical practice it has become increasingly difficult to distinguish type 1 diabetes mellitus (T1DM) from T2DM as many children with T1DM are overweight at diagnosis. Numerous recent publications note a significant proportion of physician-diagnosed T2DM youth with evidence of pancreatic autoimmunity, exemplifying the challenges in distinguishing between T1DM and T2DM. The clinical implications of the phenomenon of antibody positivity in phenotypic T2DM youth, also referred to as "type 1.5 diabetes" (T1.5 DM), "double diabetes," "latent autoimmune diabetes in youth" (LADY), and "hybrid diabetes," are unclear at present. Current and future work should determine if the presence of autoantibodies in phenotypic T2DM youth/children affects clinical course; this will facilitate the development of optimal treatment strategies. FAU - Badaru, Angela AU - Badaru A AD - Department of Pediatrics, University of Washington, Seattle, WA, USA. angela.badaru@seattlechildrens.org FAU - Pihoker, Catherine AU - Pihoker C LA - eng PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, P.H.S. PT - Review PL - United States TA - Curr Diab Rep JT - Current diabetes reports JID - 101093791 RN - 0 (Autoantibodies) RN - 0 (Biomarkers) SB - IM MH - Adolescent MH - Age of Onset MH - Autoantibodies/*blood MH - Biomarkers/blood MH - Child MH - Diabetes Mellitus, Type 1/*immunology MH - Diabetes Mellitus, Type 2/*immunology MH - Diagnosis, Differential MH - Female MH - Humans MH - Incidence MH - Insulin-Secreting Cells/*immunology/metabolism MH - Male MH - Obesity/*complications/immunology MH - Prevalence MH - United States/epidemiology MH - Young Adult EDAT- 2011/12/06 06:00 MHDA- 2012/05/23 06:00 CRDT- 2011/12/06 06:00 PHST- 2011/12/06 06:00 [entrez] PHST- 2011/12/06 06:00 [pubmed] PHST- 2012/05/23 06:00 [medline] AID - 10.1007/s11892-011-0247-2 [doi] PST - ppublish SO - Curr Diab Rep. 2012 Feb;12(1):75-81. doi: 10.1007/s11892-011-0247-2.