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Pediatric And Adolescent Type 2 Diabetes Management Program
Author: M Constantine Samaan, Marlie Valencia, Connie Cheung, Boguslaw Wilk, Keith Lau, Lehana Thabane
11 pages
One time payment: €0.00
Required subscription: Free
Type of publication: Article
ISBN/ISSN: 1178-2390
DOI: 10.2147/63842
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Global rates of type 2 diabetes in children and adolescents have increased significantly over the past three decades. Type 2 diabetes is a relatively new disease in this age group, and there is a dearth of information about how to structure treatment programs to manage its comorbidities and complications. In this paper, we describe the design ad implementation of a personalized multidisciplinary, family-centered, pediatric and adolescent type 2 diabetes program at a tertiary pediatric center in Hamilton, Ontario; Canada. We report the process of designing ad implementing such a program, and show that this multidisciplinary program led to improvement in glycated hemoglobin (n= 17.8% at baseline versus 6.4% at 1 year, 95% confidence interval (0.1-0.28), P-value <0.0001) and stabilized body mass index, with lowered C-peptide and no change in fitness or metabolic biomarkers of lipid metabolism and liver function. As type 2 diabetes becomes more prevalent in youth, the need for programs that successfully address the complex nature of this disease is central to its management and to mitigate its long-term adverse outcomes

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