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2015
Oct-02
Changing face of Type 2 Diabetes Mellitus
By Dr. Radha Unnikrishnan| 2 Comments

Smart phones, Mobile Applications, Technological innovations, scientific break thorough – all these at the fastest of pace and with a flick of our fingertips, that is 22 century. But what Endocrinologists and Diabetologists worldwide are watching with concern now, is the alarming rise in the incidence of Type 2 Diabetes Mellitus among adolescents and young adults of age group 10-18 years.This has significant public health consequence as they tend to manifest the complications of diabetes such as the affectation of eyes, kidneys, nerves and heart at the most active and productive phase of their lives. In response to this, various studies have been set forth by NIH to collect data related to Type 2 Diabetes mellitus in youth and to strategise its management. TODAY is one such study which has demonstrated that Diabetes has a more aggressive course in the youth mainly because of a lack of good glycaemic control (HbA1c 9.5%). Therefore, the need is for more intensive and early interventions so as to preserve pancreatic beta cell function in these young adults.

It has also been established that Diabetes in the mother during pregnancy increases the risk of obesity and the chance of developing Diabetes Mellitus in the offspring. Diabetes Prevention Programme is another study which has conclusively proven that weight loss delays the onset of Type 2 Diabetes Mellitus in the youngsters. In addition to all these to all these ,lack of effectiveness of METFORMIN ( which forms the mainstay of treatment of DM in adults)in the younger age is also a cause for concern. The more aggressive course of the disease in the young adult has to be arrested with a good glycaemic control. This may require not only a medical compliance out also major dietary and life style changes. The need of the hour is therefore, to reduce incidence of obesity; which may require medical as well as surgical (Bariatric surgery) interventions. It is imperative that healthy eating habits are inculcated at a young age rather than correct the bad ones.Thus, a socially challenging task rests with the treating physicians – to reduce the economic burden and improve the quality of life of these young individuals afflicted with Type II Diabetes Mellitus.

Hope is the pillar that holds up the world. Hope is the dream of a waking man 

So let us hope that a better tomorrow awaits the younger generation.

 

THERE ARE 2 COMMENTS

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Posted by Anthonyshand on February  Sat, 2017, 12:25 AM

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