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Type 2 Diabetes: An Epidemic in Children
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Type 2 Diabetes: An Epidemic in Children

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  • 1. Type 2 Diabetes... A New Epidemic in Children What is it? How can it be prevented? What to do if you get it.
  • 2. What is it?
    • Type 2 diabetes is the most common form of diabetes, accounting for 90 to 95 percent of all diabetes cases.
    • This form of diabetes usually develops in adults age 40 and older and is most common in adults over 55.
  • 3.
    • About 80 percent of people with type 2 diabetes are overweight.
    • Type 2 diabetes is often part of a metabolic syndrome that includes obesity, elevated blood pressure and high levels of blood lipids.
    • Unfortunately, as more children and adolescents become overweight, type 2 diabetes is becoming more common in young people.
  • 4.
    • When type 2 diabetes is diagnosed, the pancreas is usually producing enough insulin, but, for unknown reasons, the body cannot use the insulin effectively, a condition called insulin resistance.
    • After several years, insulin production decreases. The result is the same as for type 1 diabetes – glucose builds up in the blood and the body cannot make efficient use of its main source of fuel.
  • 5.
    • As a result, a dark area of skin may appear around the neck or in the armpit. It’s called acanthosis nigricans or "A.N."
    • Almost 75 percent of children with type 2 diabetes have A.N. Some people call it "dirty neck" and try scrubbing it or even using bleach to get rid of it. This doesn’t work.
    • Taking control over diabetes—eating well, being active, losing some weight, and taking diabetes medicine—lowers the amount of unused insulin in the body. This will help get rid of A.N.
  • 6. What are the symptoms?
    • The symptoms of type 2 diabetes develop gradually. They are not as sudden in onset as in type 1 diabetes. Some people have no symptoms.
    • Symptoms may include fatigue or nausea, frequent urination, unusual thirst, weight loss, blurred vision, frequent infections and slow healing of wounds or sores.
  • 7. How can type 2 diabetes be prevented?
    • There are things you can do to help prevent type 2 diabetes:
    • Encourage exercise and active play
    • Limit time for television and video games
    • Plan healthy, low fat meals
    • Watch the portions your child eats
    • Never tell a child to "Clean your plate!"
  • 8. What if you get type 2 diabetes?
    • Food & Losing Weight - You may be overweight. If so, losing weight will be an important part of your diabetes care plan.
    • You and your health care team will work together to build a diabetes plan that lets you be the boss of your diabetes. Even if you’re not overweight, your plan will help you balance food, activities, and sometimes medicine.
  • 9. What if you get type 2 diabetes?
    • Physical Activity - The more calories you burn up, the better your body uses insulin, and the more often your blood sugar will be in your target range.
    • You don’t have to start running marathons. But do make sure you do something active every day.
    • It can be shooting hoops, mowing the lawn, shoveling snow, hacky sack, anything that raises your heartbeat for 20 minutes or more.
  • 10. What if you get type 2 diabetes?
    • Watching TV, spending hours at the computer, playing video games, and hanging out with friends DO NOT count as exercise.
    • Talk with your health care team about the things you like to do and make sure those activities are part of your diabetes plan.
  • 11. What if you get type 2 diabetes?
    • Medication - Your doctor may give you diabetes medicine (insulin) to help you feel better and keep your blood sugars within your target range. Be sure to ask how and when to take the medicine, and how much to take.
    • You should also know how the medicine works, whether there are any side effects, and when you should report side effects to your doctor.
    • Some people can control type 2 diabetes without medicine. Losing weight and following your diabetes plan will help.
  • 12. Resources
    • For more information on diabetes, contact the American Diabetes Association at 1-800-DIABETES, or visit www.diabetes.org .
    • Nebraska Health and Human Services System at www.hhs.state.ne.us
    • Centers for Disease Control at www.cdc.gov
  • 13. Presented by
    • This presentation is sponsored, in part, through a grant from the American Public Health Association and Pfizer.
    • __________________________
    • Public Health Association of Nebraska
    • Phone 402.483.1039
    • www.PublicHealthNe.org
    • Public Health is Your Health Too

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