New-Onset Diabetes in Obese Adolescents Ã¢ÂÂ Type 1 or Type 2 Diabetes? Comparative Cases ReportAnna M. Gertig*, Elzbieta Niechcial, Bogda Skowronska and Piotr Fichna
Department of Pediatric Diabetes and Obesity, Poznan University of Medical Sciences, Poland
- Corresponding Author:
- Anna M. Gertig
Department of Pediatric Diabetes and Obesity
Children’s Hospital, Szpitalna Street 27/33, 60-572 Poznan, Poland
Tel: +48 618 491 420
Fax: +48 618 491 492
E-mail: [email protected]
Received Date: July 07, 2013; Accepted Date: August 21, 2013; Published Date: August 27, 2013
Citation: Gertig AM, Niechcial E, Skowronska B, Fichna P (2013) New-Onset Diabetes in Obese Adolescents – Type 1 or Type 2 Diabetes? Comparative Cases Report. J Diabetes Metab S11:006. doi:10.4172/2155-6156.S11-006
Copyright: © 2013 Gertig AM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
The increasingly obesogenic environment exerts a ponderous impact on the clinical presentation and the course of diabetes. Obesity is strongly linked to T2DM development, yet, the latest observation has shown that more cases of T1DM are diagnosed in youth who had been obese before the onset of the disease. What is more, the presence of autoimmunity is noticed in patients phenotypically classified as T2DM. The overlap of the clinical phenotypes of diabetes has become a new challenge for physicians who formulate a differential diagnosis. There is a question to consider how such patients should be classified. Not to discount the importance of identifying diabetes in an obese child, it is the therapeutic approach to such a complex patient that a physician should mainly focus on. Cases presented herein address the role that childhood obesity plays in making a differential diagnosis of diabetes and even more in choosing the adequate therapy.