Co-morbidities of obesity in children mirror those seen in adults. Virtually any body system can be affected. The January 2015 issue of the NASN School Nurse featured an introductory article on childhood obesity. This article is the first of six related articles focusing on co-morbidities of childhood obesity and focuses on type 2 diabetes (T2D). School nurses can play an integral role in the identification, prevention, and treatment of childhood obesity. With one in three of our nation’s school-age children diagnosed as overweight or obese, it is imperative that school nurses join families, public health agencies, and medical communities in mounting a coordinated attack against this threat.
American Academy of Pediatrics Subcommittee on Management of T2DM in Children and Adolescents. (2013). Management of newly diagnosed type 2 diabetes mellitus (T2DM) in children and adolescents. Pediatrics, 131, 364-382.
3.
ArslanianS.PyleL.PayanM.BachaF.CaprioS.HaymondM.. . . WilliS. M. (2013). TODAY Study Group. Effects of metformin, metformin plus rosiglitazone, and metformin plus lifestyle on insulin sensitivity and B-cell function in TODAY. Diabetes Care, 36, 1749-1756. Retrieved September10, 2014, from http://care.diabetesjournals.org/content/36/6/1749.full.pdf
4.
BachaF.PyleL.NadeauK.CuttlerL.GolandR.HaymondM.. . . ArslanianS. (2012). Determinants of glycemic control in youth with type 2 diabetes at randomization in the TODAY study. Pediatric Diabetes, 13(5), 376-383. doi:10.1111/j.1399-5448.2011.00841.x
5.
Centers for Disease Control and Prevention. (2011). National diabetes fact sheet: National estimates and general information on diabetes and prediabetes in the United States, 2011. Atlanta, GA: U.S. Department of Health and Human Services. Retrieved September10, 2014, from http://www.cdc.gov/diabetes/pubs/pdf/ndfs_2011.pdf
ConstantinoM. I.MolyneauxL.Limacher-GislerF.Al-SaeedA.LuoC.WuT.. . . WongJ. (2013). Long-term complications and mortality in young-onset diabetes: Type 2 diabetes is more hazardous and lethal than type 1 diabetes. Diabetes Care, 36(12), 3863-3869.
10.
HandelsmanY.MechanickJ. I.BlondeL.GrunbergerG.BloomgardenZ. T.BrayG. A.. . . WyneK. L. (2011). American Association of Clinical Endocrinologists medical guidelines for clinical practice for developing a diabetes mellitus comprehensive care plan. Endocrine Practitioner, 17(Suppl. 2), 1-53.
11.
KapadiaC.ZeitlerP. (2012). Hemoglobin A1c measurement for the diagnosis of type 2 diabetes in children. International Journal of Pediatric Endocrinology, 31. doi:10.1186/1687-9856-2012-31
12.
KershnarA. K.DanielsS. R.ImperatoreG.PallaS. L.PetittiD. B.PettittD. J.. . . RodriquezB. L. (2006). Lipid abnormalities are prevalent in youth with type 1 and 2 diabetes: the search for diabetes in youth study. Journal of Pediatrics, 149(3), 314-319.
13.
McGavockJ.SellersE.DeanH. (2007). Physical activity for the prevention and management of youth-onset type 2 diabetes mellitus: Focus on cardiovascular complications. Diabetes and Vascular Disease Research, 4(4), 305-310.
RodriguezB. L.FujimotoW. Y.Mayer-DavisE. J.ImperatoreG.WilliamsD. E.BellR. A.. . . LinderB. (2006). Prevalence of cardiovascular disease risk factors in U.S. children and adolescents with diabetes. Diabetes Care, 29(8), 1891-1896.
16.
WeissR.TaksaliS. E.TamborlaneW. V.BurgertT. S.SavoyeM.CaprioS. (2005). Predictors of changes in glucose tolerance status in obese youth. Diabetes Care, 28(4), 902-909.
