Type 2 diabetes mellitus in children: are we ‘treating’ them right?

Methods Data on children with T2DM referred to and managed in UMMC from 2000 until 2013 were collected. Their body mass index (BMI and blood tests (HbA1c and Lipids) were compared at presentation to their latest clinic appointment. Treatment modalities and duration of follow up were documented. T2DM was dignosed if they had hyperglycaemia (Random BG > 11.8mmol/L or fasting BG > 7mmol/L or 2hpp OGTT >11.1mmol/L with low C-Peptide). Hypertension (HPT) if BP> 90th centile for age,sex and height. Dyslipidemia is considered if either triglycerides> 1.7mmol/L, cholesterol >5.2mmol/L, HDL< 1.03mmol/L or LDL> 2.50mmol/L. Non-alcoholic fatty liver disease (NAFLD) was confirmed with ultrasound, diabetic nephropathy (DN) if urine microalbumin>3.5 in boys , >4.5 in girls and diabetes retinopathy(DR) if reported by opthalmologist.