Obesity Drives Diabetes in KidsMonday, March 22, 2010
Last Friday, I was invited to talk on obesity at the city wide Endocrinology Rounds at Toronto’s Mount Sinai Hospital.
This institution lies just across the street from Toronto’s Hospital for Sick Children (or “Sick Kids” as it is mostly referred to), which is now home to Canada’s first adolescent bariatric surgery program.
After my talk, I had the opportunity to briefly speak to Jill Hamilton, the lead pediatric endocrinologist dealing with obesity and related health issues at Sick Kids.
We talked about the new surgical program that was starting and their experience with the first few kids that had undergone surgery.
Clearly, given the remarkable increase in severe obesity in kids and the very limited success of conventional behavioural treatments, we can expect to see an increase in the need for obesity surgery in adolescents.
As Hamilton outlines in a recent paper published in Expert Review of Cardiovascular Therapy,
“The emergence of Type 2 diabetes (T2D) in children and adolescents parallels the rising rates of childhood obesity. T2D diagnosed in children and adolescents represents a distinct and challenging condition to evaluate and treat.”
The paper nicely highlights the epidemiology, pathophysiology, risk factors, clinical presentation and diagnosis, treatment and public health impact of type 2 diabetes in children and adolescents.
Given the remarkable efficacy of bariatric surgery to resolve type 2 diabetes, it is likely that the presence of poorly controlled diabetes may well become one of the more important rationales for considering bariatric surgery in adolescents with excess weight.
Monday, March 22, 2010
I’m not sure I believe in all of this surgery especially for adolescents. I do agree that we have an obesity problem in all ages but what about actually changing your lifestyle habits. Many people are doing this without surgery. I have worked with people who have eliminated diet soda from their diet, or who have lost over 60 inches and 30 pounds and have learned about portion control. While doing this, they were feeding their body with the nutrients it needed and didn’t crave any of the “bad” food. It scares me that people think surgery is the only way to help fight obesity.
Tuesday, May 24, 2011
Why not clarify type 2 diabetes earlier than more than halfway through the post? The majority of all diabetic children, by far, are type 1.