Childhood obesity type 2 diabetes risk of,diabetes type 2 insuline afhankelijk synoniem,can't control my diabetes - Downloads 2016

The World Health Organization predicts there will be 2.3 billion overweight adults in the world by 2015 and more than 700 million of them will be obese.
The increase of convenience foods, labour-saving devices, motorised transport and more sedentary jobs means people are getting fatter. The body mass index (BMI) is the most commonly-used way of classifying overweight and obesity in adult populations and individuals. Each BMI figure is classified within a range, eg 18-25 is ideal and over 30 is reckoned to be obese. According to a survey of bodyshapes conducted in the UK in 1951, a woman's average waist size was 70cm (27.5in). There was no comparative data for men in 1951, but the SizeUK survey showed the average man in 2004 had a waist of 94cm (37in) and a BMI of 25.2, technically just outside the ideal range. But obesity is not just a problem for adults - the spread of obesity among children is also alarming experts. At least 20 million children under the age of 5 years were overweight globally in 2005, according to the WHO. Measuring children, aged 5 to 14 years, who are overweight or obese is challenging because there is not a standard definition of childhood obesity applied worldwide. Experts are worried that the increase in obesity will lead to more health problems as people who are overweight have a higher risk of heart disease, Type II diabetes and other diseases including some cancers. As most data sources do not distinguish between Type I and II diabetes in adults, it is not possible to present the data separately.
Even if the prevalence of obesity remains stable until 2030, the American Diabetes Association, says that the number of people with diabetes will more than double. It says the increase may be "considerably higher" than this if, as expected, the prevalence of obesity continues to rise around the world.
As a pediatric endocrinologist, I find the sharp increase in type 2 diabetes cases among children truly alarming. Not too long ago, pediatricians considered type 2 diabetes in children an anomaly—accounting for only 1 or 2 percent of all pediatric diabetes cases. The best way to help these children is by implementing an early action plan, making it imperative that pediatricians know the best treatment options and practices available. Help for these doctors has recently arrived in the form of the first-ever guidelines written for children and adolescents with type 2 diabetes, issued by the American Academy of Pediatrics (AAP).
Further complicating diagnosis, children with type 2 diabetes can be just as sick as type 1 patients at diagnosis.
2.      In other situations, newly diagnosed children and adolescents with type 2 diabetes should initiate lifestyle modifications, including diet changes (using the Pediatric Weight Management Evidence-Based Nutrition Practice Guidelines) and exercise, and start Metformin as a first-line therapy. Starting newly diagnosed type 2 children on a healthy path as soon as possible is a key to treatment success. If treatment goals for nutrition education and exercise are not met, pharmacologic therapy is warranted. Metformin has the added advantage of helping with weight reduction and improving lipid profiles. 3.      Monitor HbA1c every three months and intensify goals for monitoring blood glucose levels if treatment goals are not being met.


Although prevention is always preferable to cure, the recent advances in diabetes treatment offer great promise of improved, if not ideal, glycemic control and associated health-related benefits, thus reducing or preventing the long-term complications of diabetes in this population.
Guidance from the AAP provides a much-needed road map—which should be augmented with continued research and persistent attention to this growing population. Obesity is considered a widespread health problem in the United States – during 2009-2010, 35.7 percent of American adults were obese. Diabetes, generally defined, refers to having high levels of blood glucose resulting from complications in insulin production or insulin action. Obesity and diabetes rates per 100,000 people in the MRC region are closely related, with the lowest rates of either being clustered around Buncombe, Henderson, Transylvania, and Polk Counties, as well as Ashe and Watauga.
Physical activity, along with a healthy diet, is recommended for reducing weight and managing some types of diabetes. More information on having a healthy diet in the MRC region can be found at Access to Healthy Food. Please download the latest version of the Google Chrome, Mozilla Firefox, Apple Safari, or Windows Internet Explorer browser. One study showed that children who became obese as early as age 2 were more likely to be obese as adults. A 3-D survey carried out by SizeUK in 2004 found the average woman had a waist measurement of 86cm (34in) and a BMI of 24.4, just inside the ideal range. Now, government statistics indicate that as many as one in three children diagnosed with diabetes has type 2 diabetes, and the U.S.
In the past, a child with diabetes usually had type 1 and was often thin, had no family history of diabetes and presented at diagnosis in ketoacidosis (DKA). They may present with elevated HbA1Cs, in DKA and with ketonurea (an excess of ketones in the urine). Exercise suggestions include encouraging children and adolescents with type 2 diabetes to engage in moderate to vigorous exercise for at least 60 minutes daily and to limit nonacademic “screen time” to less than two hours daily. The entire family must work together to create an environment with healthy food choices and daily physical activity.
The only oral agent approved for use in the pediatric population is Metformin, which is used in both adults and children to reduce blood glucose levels.
However, treatment with Metformin also may normalize ovulatory abnormalities in girls with polycystic ovarian syndrome and increase the risk of unplanned pregnancy. Patients should be advised to monitor BG levels if they are taking insulin or other medications that have a risk of hypoglycemia, are initiating or changing their diabetes treatment regimen, have not met treatment goals or have an additional illness.
For this reason it is important that pediatric type 2 patients correctly monitor blood sugar levels.
Because diabetes can be a lifelong condition whose deleterious effects increase over time, it is critical that these guidelines be followed closely. In North Carolina, an estimated two-thirds of adults were reported overweight or obese, and the prevalence of childhood obesity in North Carolina is fifth in the nation.
Centers for Disease Control and Prevention use height and weight to define obesity through body mass index (BMI) – adults with a BMI greater than 30 are considered obese. Depending on the type, diabetes can be associated with older age, obesity, physical inactivity, race or ethnicity, and family history, among other factors.


Although rates of physical activity in adults in the MRC region are higher than those in the rest of the state, there are still many adults who are not physically active, and rates of physical inactivity are related to rates of obesity and diabetes. According to an article in the New York Times all of these health effects are contributing to a shorter lifespan of five years for these obese children. Centers for Disease Control and Prevention estimate that about 3,600 more children are being diagnosed with type 2 diabetes each year. Now, as many as 24 percent of children with type 1 may be overweight at the time of diagnosis, like their type 2 counterparts. Therefore, it is extremely important that precautions be taken; when the diagnosis is not clear, the patient should be kept on insulin. It is important that doctors educate the family and equally important that family members provide positive reinforcement and make overall family health a higher priority.
Therefore, preconception and pregnancy counseling should also be part of the treatment regimen for all girls and women of childbearing age with type 2 diabetes. This information, obtained before and after meals, at the fasting state and before bed, can help doctors make changes in medications, diet and physical activity until treatment goals are met. Still, it’s important to stress that these are only guidelines, and doctors and families need to work as a team to provide individualized care for these children and adolescents. While obesity is less prevalent in the MRC region than across the rest of the state or the nation, its rate of incidence among adults has increased from 2005 to 2009 – by 22 percent in the state and by 15.4 percent in the MRC region. Along with kidney failure and blindness, diabetes has been reported as a leading contributor to heart disease, stroke, and depression, and can also lead to non-traumatic amputation.The American Diabetes Association estimates that one of every five health care dollars is spent on treatment for diabetes, and that one of every ten health care dollars is spent for circumstances that can be attributed to diabetes. It is the first time in two centuries that the current generation of children in America may have a shorter life span than their parents.
Most are nonwhite, between 10 and 19 years old and medically obese, and report having a family history of type 2 diabetes. Insulin ensures that the patient returns to having normal glucose levels as soon as possible regardless of the type of diabetes. Health risks associated with obesity are numerous, but include heart disease (the nation’s leading cause of death) and type 2 diabetes (North Carolina’s and the Mountain Resource Commission [MRC] region’s seventh leading cause of death). The growing rate of obesity is also significant due to its association with a similarly-increasing rate in diabetes incidence, discussed more fully below. Like obesity, the adult diabetes rate has increased in both North Carolina and the MRC region between 2005 and 2009 – a 20 percent increase in the state and a 16.8 percent increase in the MRC region. In Buncombe County, where only 19.6 percent of adults are physically inactive, obesity and diabetes are comparatively scarce. It’s important that pediatricians explain to parents that it is safe for their children to take insulin and that it might be needed only temporarily until a definitive diagnosis is confirmed. For more information on disease death rates, visit Deaths from Heart Disease, Stroke, Cancer, and Diabetes.



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Comments

  1. Reg1stoR

    The late ninety's and it laid the this is actually a metabolic disorder that results.

    07.01.2015

  2. SKANDAL

    Perhaps because of this, the paleo.

    07.01.2015