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Emerg Med Clin North Am. 2014 May;32(2):319-27. doi: 10.1016/j.emc.2013.12.004.

The changing face of diabetes in America.

Author information

1
Department of Emergency Medicine, University of Maryland Medical Center, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA.
2
Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA. Electronic address: george.willis.md@gmail.com.

Abstract

So much has changed in the field of diabetes diagnosis and management in the United States. Unhealthy lifestyle choices have hastened an epidemic of childhood obesity, causing a paradigm shift in how childhood diabetes is conceptualized. Once thought a consequence of obesity, sedentary lifestyle, and genetics, diabetes with onset in adults has been found to have a variant with autoimmunity. As the lines among adult-onset, child-onset, and type 1 and type 2 diabetes mellitus become more blurred, best practices in management and prevention become more complicated. This article highlights key points regarding 2 variants, juvenile-onset type 2 diabetes mellitus and latent autoimmune diabetes of adults.

KEYWORDS:

Autoimmune; Childhood; Diabetes; Epidemic; LADA; Obesity

PMID:
24766935
DOI:
10.1016/j.emc.2013.12.004
[Indexed for MEDLINE]

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