Characteristics of children and adolescents at onset of type 2 diabetes in a Tertiary Hospital in Bangladesh

Introduction: Recent data show that the prevalence of diabetes among children and adolescents is increasing in some ethnic groups. The worldwide epidemic of childhood obesity has been accompanied by an increase in the incidence of type 2 diabetes (T2D) in youth. Methods: The aim of this study was to...

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Main Authors: Bedowra Zabeen, Jebun Nahar, Samin Tayyeb, Fauzia Mohsin, Nazmun Nahar, Kishwar Azad
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Indian Journal of Endocrinology and Metabolism
Subjects:
Online Access:http://www.ijem.in/article.asp?issn=2230-8210;year=2016;volume=20;issue=5;spage=638;epage=642;aulast=Zabeen
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author Bedowra Zabeen
Jebun Nahar
Samin Tayyeb
Fauzia Mohsin
Nazmun Nahar
Kishwar Azad
author_facet Bedowra Zabeen
Jebun Nahar
Samin Tayyeb
Fauzia Mohsin
Nazmun Nahar
Kishwar Azad
author_sort Bedowra Zabeen
collection DOAJ
description Introduction: Recent data show that the prevalence of diabetes among children and adolescents is increasing in some ethnic groups. The worldwide epidemic of childhood obesity has been accompanied by an increase in the incidence of type 2 diabetes (T2D) in youth. Methods: The aim of this study was to describe the baseline characteristics of children and adolescents diagnosed ≤18 years who had features of T2D and presented at  Changing Diabetes in Children, Paediatric Diabetes Clinic at Bangladesh Institute of Research and Rehabilitation of Diabetes, Endocrine, and Metabolic Disorders. All patients who were newly diagnosed and came to the clinic from March 2011 to March 2015 were included. Results: Among 939 newly registered patients, 77 (8%) had a diagnosis of T2D. The age at diagnosis was 9-10 years in 11 patients (14%), 11-14 years in 46 (60%) and 15-17 years in other 20 patients (26%). Majority of the children had a positive family history of T2D (94%) and 58% were obese. Median fasting insulin (27.9 [17.3-99.3]) was high in 76% patients. Insulin was started initially along with metformin in 40 patients and could be stopped in six patients in 3 months. Conclusion: Our study reflects that T2D is emerging as a problem in children and adolescents in Bangladesh.
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spelling doaj.art-98546940e39047f7af3babcb169d31012022-12-21T19:09:49ZengWolters Kluwer Medknow PublicationsIndian Journal of Endocrinology and Metabolism2230-82102016-01-0120563864210.4103/2230-8210.190544Characteristics of children and adolescents at onset of type 2 diabetes in a Tertiary Hospital in BangladeshBedowra ZabeenJebun NaharSamin TayyebFauzia MohsinNazmun NaharKishwar AzadIntroduction: Recent data show that the prevalence of diabetes among children and adolescents is increasing in some ethnic groups. The worldwide epidemic of childhood obesity has been accompanied by an increase in the incidence of type 2 diabetes (T2D) in youth. Methods: The aim of this study was to describe the baseline characteristics of children and adolescents diagnosed ≤18 years who had features of T2D and presented at  Changing Diabetes in Children, Paediatric Diabetes Clinic at Bangladesh Institute of Research and Rehabilitation of Diabetes, Endocrine, and Metabolic Disorders. All patients who were newly diagnosed and came to the clinic from March 2011 to March 2015 were included. Results: Among 939 newly registered patients, 77 (8%) had a diagnosis of T2D. The age at diagnosis was 9-10 years in 11 patients (14%), 11-14 years in 46 (60%) and 15-17 years in other 20 patients (26%). Majority of the children had a positive family history of T2D (94%) and 58% were obese. Median fasting insulin (27.9 [17.3-99.3]) was high in 76% patients. Insulin was started initially along with metformin in 40 patients and could be stopped in six patients in 3 months. Conclusion: Our study reflects that T2D is emerging as a problem in children and adolescents in Bangladesh.http://www.ijem.in/article.asp?issn=2230-8210;year=2016;volume=20;issue=5;spage=638;epage=642;aulast=ZabeenBangladeshchildren and adolescentstype 2 diabetes
spellingShingle Bedowra Zabeen
Jebun Nahar
Samin Tayyeb
Fauzia Mohsin
Nazmun Nahar
Kishwar Azad
Characteristics of children and adolescents at onset of type 2 diabetes in a Tertiary Hospital in Bangladesh
Indian Journal of Endocrinology and Metabolism
Bangladesh
children and adolescents
type 2 diabetes
title Characteristics of children and adolescents at onset of type 2 diabetes in a Tertiary Hospital in Bangladesh
title_full Characteristics of children and adolescents at onset of type 2 diabetes in a Tertiary Hospital in Bangladesh
title_fullStr Characteristics of children and adolescents at onset of type 2 diabetes in a Tertiary Hospital in Bangladesh
title_full_unstemmed Characteristics of children and adolescents at onset of type 2 diabetes in a Tertiary Hospital in Bangladesh
title_short Characteristics of children and adolescents at onset of type 2 diabetes in a Tertiary Hospital in Bangladesh
title_sort characteristics of children and adolescents at onset of type 2 diabetes in a tertiary hospital in bangladesh
topic Bangladesh
children and adolescents
type 2 diabetes
url http://www.ijem.in/article.asp?issn=2230-8210;year=2016;volume=20;issue=5;spage=638;epage=642;aulast=Zabeen
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