Obesity, family history of diabetes and adolescent type 2 diabetes mellitus - A case report
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Date
2016-09
Authors
Ogunwale, O.O
Iwuala, S.O
Odeniyi, I.A
Fasanmade, O.A
Journal Title
Journal ISSN
Volume Title
Publisher
Endocrinology and metabolism society of Nigeria
Abstract
Background: Type 2 diabetes mellitus has been on the rise amongst children and adolescents over the last two decades. Obesity and a family history of diabetes are the most common factors associated with this trend.
Objective: To present a case report of type 2 diabetes in an overweight teenager with a strong family history of diabetes mellitus.
Method: We describe a case of type 2 diabetes who presented with progressive weight loss, polyuria and polydipsia. We also discuss the results of investigations done, treatment modalities involved and management outcomes.
Results: A 14-year-old boy who was dehydrated, had diabetic ketoacidosis, with evidence of chronic hyperglycaemia, and residual pancreatic beta-cell function on investigation. Treatment included prompt rehydration, dietary therapy and a high total daily dose of insulin to achieve glycaemic control over two weeks on admission. He was discharged and subsequently had a progressive reduction in total daily insulin dose due to tight glycaemic control. Treatment was changed to metformin and continued lifestyle modification with which he maintained good glycaemic control.
Conclusion: Overweight and obese Nigerian adolescents with a strong family history of diabetes can develop type 2 diabetes mellitus. Lifestyle modification is essential to achieve and maintain good glycaemic control in adolescents with type 2 diabetes.
Description
Conference presentation
Keywords
Obesity , Type 2 diabetes , Adolescence , Nigeria , Research Subject Categories::MEDICINE
Citation
Ogunwale OO. Iwuala SO, Odeniyi IA, Fasanmade OA. Obesity, family history of diabetes and adolescent type 2 diabetes mellitus - A case report. Book of Abstracts, Endocrine and Metabolism society of Nigeria, AGMSC 2016