By Trisha Dunning
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Extra resources for Care of People with Diabetes: A Manual of Nursing Practice Third Edition
Recognition can be difﬁcult and the diagnosis is often missed (Appleton & Hattersley 1996). This can have implications for the individual and their family in commencing appropriate treatment for the speciﬁc type of MODY and genetic counselling. Practice points (1) MODY is a different disease process from Type 2 diabetes that occurs in young people and has a different genetic and inheritance pattern from Type 2. The prevalence of Type 2 diabetes in children is increasing and is associated with obesity and insulin resistance (Sinha et al.
Type 2 diabetes is a progressive disease and complications are often present at diagnosis. Thus, insulin will eventually be necessary in most people with Type 2 diabetes. • The prevalence of obesity, the metabolic syndrome and Type 2 diabetes is increasing in children. What is diabetes mellitus? Diabetes mellitus is a metabolic disorder in which the body’s capacity to utilise glucose, fat and protein is disturbed due to insulin deﬁciency or insulin resistance. Both states lead to an elevated blood glucose concentration and glycosuria.
Adult criteria are recommended for adolescents over 16 years. The long-term impact on morbidity and mortality will emerge as young people with the metabolic syndrome become adults. However, heart disease may be apparent in children as young as 10 (Sinaiko 2006) and early onset of Type 2 diabetes in adolescents is associated with more rapid progression of complications than occurs in Type 1. Management of the metabolic syndrome in children and adults consists of primary prevention through population-based strategies aimed at early detection, regular follow-up of at-risk individuals and personalised education.
Care of People with Diabetes: A Manual of Nursing Practice Third Edition by Trisha Dunning