| Type 2 diabetes in indigenous Australian children and adolescents. | |
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MedLine Citation:
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PMID: 20854318 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Louise J Maple-Brown; Ashim K Sinha; Elizabeth A Davis |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Review |
Journal Detail:
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Title: Journal of paediatrics and child health Volume: 46 ISSN: 1440-1754 ISO Abbreviation: J Paediatr Child Health Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-09-21 Completed Date: 2011-01-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9005421 Medline TA: J Paediatr Child Health Country: Australia |
Other Details:
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Languages: eng Pagination: 487-90 Citation Subset: IM |
Copyright Information:
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© 2010 The Authors. Journal of Paediatrics and Child Health © 2010 Paediatrics and Child Health Division (Royal Australasian College of Physicians). |
Affiliation:
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Menzies School of Health Research, Institute of Advanced Studies, Charles Darwin University, Casuarina, Australia. louise.maple-brown@menzies.edu.au |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Australia / epidemiology Child Diabetes Mellitus, Type 1 / epidemiology, ethnology Diabetes Mellitus, Type 2 / diagnosis, epidemiology*, ethnology* Health Status Disparities Humans Population Groups* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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