The changing face of diabetes in America

Omoyemi Adebayo; George C Willis

doi:10.1016/j.emc.2013.12.004

The changing face of diabetes in America

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

Authors

Omoyemi Adebayo¹, George C Willis²

Affiliations

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.

PMID: 24766935
DOI: 10.1016/j.emc.2013.12.004

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.

Publication types

Review

MeSH terms

Age Distribution
Blood Glucose / metabolism
Diabetes Mellitus* / epidemiology
Diabetes Mellitus* / metabolism
Diabetes Mellitus* / therapy
Disease Management*
Humans
Insulin / metabolism
Morbidity / trends
Prognosis
Sex Distribution
United States / epidemiology

Substances

Blood Glucose
Insulin