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Risk factors

By Mayo Clinic staff

Researchers don't fully understand why some children develop type 2 diabetes and others don't, even if they have similar risk factors. It's clear that certain factors increase the risk, however, including:

  • Weight. Being overweight is a primary risk factor for type 2 diabetes in children. The more fatty tissue a child has, the more resistant his or her cells become to insulin. The good news is that many children who have type 2 diabetes can improve their blood sugar levels simply by losing excess weight.
  • Inactivity. The less active your child is, the greater his or her risk of type 2 diabetes. Physical activity helps your child control his or her weight, uses glucose as energy, and makes your child's cells more responsive to insulin.
  • Family history. The risk of type 2 diabetes increases if a parent or sibling has type 2 diabetes — but it's difficult to tell if this is related to lifestyle, genetics or both.
  • Race. Although it's unclear why, children of certain races — especially blacks, Hispanics, American Indians and Asian-Americans — are more likely to develop type 2 diabetes.
  • Gender. Type 2 diabetes is more common in girls than in boys during childhood.
References
  1. Laffel L, et al. Epidemiology, presentation, and diagnosis of type 2 diabetes mellitus in children and adolescents. http://www.uptodate.com/home/index.htm. Accessed Jan. 6, 2009.
  2. Am I at risk for type 2 diabetes? National Institute of Diabetes and Digestive and Kidney Diseases. http://diabetes.niddk.nih.gov/DM/pubs/riskfortype2/. Accessed Jan. 9, 2009.
  3. Standards of medical care in diabetes — 2008. Alexandria, Va.: American Diabetes Association. http://care.diabetesjournals.org/content/vol31/Supplement_1/. Accessed Jan. 6, 2009.
  4. McCulloch DK, et al. Pathogenesis of type 2 diabetes mellitus. http://www.uptodate.com/home/index.htm. Accessed Jan. 6, 2009.
  5. Laffel L, et al. Comorbidities and complications of type 2 diabetes mellitus in children and adolescents. http://www.uptodate.com/home/index.htm. Accessed Jan. 6, 2009.
  6. McCulloch DK, et al. Glycemic control and vascular complications in type 2 diabetes mellitus. http://www.uptodate.com/home/index.htm. Accessed Jan. 6, 2009.
  7. Kidney disease (nephropathy). American Diabetes Association. http://www.diabetes.org/type-2-diabetes/kidney-disease.jsp. Accessed Jan. 9, 2009.
  8. Prevent diabetes problems: Keep your eyes healthy. National Institute of Diabetes and Digestive and Kidney Diseases. http://diabetes.niddk.nih.gov/dm/pubs/complications_eyes/index.htm. Accessed Jan. 6, 2009.
  9. Why taking care of your diabetes is important. National Diabetes Information Clearinghouse. http://www.diabetes.niddk.nih.gov/dm/pubs/type1and2/care.htm. Accessed Jan. 9, 2009.
  10. Prevent diabetes problems: Keep your feet and skin healthy. National Diabetes Information Clearinghouse. http://diabetes.niddk.nih.gov/dm/pubs/complications_feet/. Accessed Jan. 9, 2009.
  11. Estimated Average Glucose, eAG. American Diabetes Association. http://professional.diabetes.org/GlucoseCalculator.aspx. Accessed Jan. 6, 2009.
  12. Laffel L, et al. Management of type 2 diabetes mellitus in children and adolescents. http://www.uptodate.com/home/index.htm. Accessed Jan. 6, 2009.
  13. The basics of insulin. American Diabetes Association. http://www.diabetes.org/utils/printthispage.jsp?PageID=TYPE1DIABETES3_263601. Accessed Jan. 6, 2009.
  14. Hypoglycemia. American Diabetes Association. http://tracker.diabetes.org/hypoglycemia.php. Accessed Jan. 9, 2009.
  15. Hyperglycemia. American Diabetes Association. http://tracker.diabetes.org/hyperglycemia.php. Accessed Jan. 9, 2009.
  16. Ketoacidosis. American Diabetes Association. http://www.diabetes.org/type-1-diabetes/ketoacidosis.jsp. Accessed Jan. 6, 2009.
  17. International Expert Committee. International Expert Committee report on the role of the A1C assay in the diagnosis of diabetes. Diabetes Care. 2009;32:1.

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June 13, 2009

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