b'| ELITEHEALTH GUIDEChildren with Type 2 DiabetesSymptoms, diagnosis, treatmentplus a troubling rise in numbersBy Krystina Ostermeyer RN, BSN, CDEI n 2017, the New England Journal of Medicine published a shockingstand why the increase in rates of diabetes development varies so greatly report. The SEARCH for Diabetes in Youth Study evaluated cases ofand is so concentrated in specific racial and ethnic groups.newly diagnosed diabetes (both type 1 and type 2 diabetes) betweenThough the rate of type 2 diabetes is increasing each year, the inci-2002-2012; the results were published in the report, Incidence Trendsdence of type 1 diabetes in children still is the most common form of of Type 1 and Type 2 Diabetes among Youths, 2002-2012. diabetes in children. The cause of type 1 diabetes is unknown, though This study evaluated the five major ethnic groups in the Unitedwe know that type 1 diabetes is an autoimmune condition; this means Statesnon-Hispanic whites, non-Hispanic blacks, Hispanics, Asian- that a person is genetically predisposed to developing the disease. A American/Pacific Islanders, and Native Americans. The study foundtrigger must stimulate the immune response, eventually cause the that the rate of type 1 diabetes increased by 1.8 percent each year, whilepancreas to stop making insulin.the rate of type 2 diabetes increased by 4.8 percent each year. Type 2 diabetes is related to the bodys inability to make enough insu-lin, or the bodys ability to use its own insulin effectively.In the past, it CAUSE OF DIABETES IN CHILDREN was extremely rare for children to have type 2 diabetes; however, it is Why is the incidence of diabetes increasing each year? becoming all too common.Barbara Linder, MD, PhD, senior advisor for childhood diabe-tes research at the National Institute of Healths National Institute ofSYMPTOMS OF TYPE 2 DIABETES IN CHILDRENDiabetes and Digestive and Kidney Diseases, states, These findingsOften, there are no symptoms associated with type 2 diabetes until lead to many more questions. The differences among racial and ethnicblood glucose values are extremely elevated. As such, type 2 diabetes is ISTOCKgroups and between genders raise many questions. We need to under- often termed a silent disease.www.elitecme.com |2019| ELITEHEALTH GUIDE 13'