Pediatric Type 2 Diabetes in Japan: Similarities and Differences from Type 2 Diabetes in Other Pediatric Populations
Purpose of Review To review clinical characteristics of pediatric type 2 diabetes in Japan. Recent Findings It is well recognized that Asian populations, particularly the Japanese, have a higher incidence of childhood type 2 diabetes. Of note, most Asian populations show a higher incidence of pediat...
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| Veröffentlicht in: | Current diabetes reports 2018-06, Vol.18 (6), p.29-6, Article 29 |
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| creator | Urakami, Tatsuhiko |
| description | Purpose of Review
To review clinical characteristics of pediatric type 2 diabetes in Japan.
Recent Findings
It is well recognized that Asian populations, particularly the Japanese, have a higher incidence of childhood type 2 diabetes. Of note, most Asian populations show a higher incidence of pediatric type 2 diabetes than that of type 1 diabetes. However, a current report in the USA demonstrated a dramatic increase in the incidence of young people with type 2 diabetes in recent years. The USA could have a much higher incidence of type 2 diabetes than Japan, possibly due to environmental and behavioral factors. The clinical features of Japanese young people with type 2 diabetes might have some differences from type 2 diabetes in other pediatric populations. Japanese children with type 2 diabetes are likely to be thinner than Caucasian children. Approximately 10–15% Japanese patients with type 2 diabetes exhibit normal weight with milder insulin resistance and substantial insulin secretion failure. Autoimmunity is not associated with the etiology of type 2 diabetes.
Summary
Some genetic background and environmental factors, different from those in Caucasians, could play a role in the development of type 2 diabetes in Japanese children. Considering these characteristics, we must consider adequate therapy and management for young people with type 2 diabetes. |
| doi_str_mv | 10.1007/s11892-018-0999-z |
| format | Article |
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To review clinical characteristics of pediatric type 2 diabetes in Japan.
Recent Findings
It is well recognized that Asian populations, particularly the Japanese, have a higher incidence of childhood type 2 diabetes. Of note, most Asian populations show a higher incidence of pediatric type 2 diabetes than that of type 1 diabetes. However, a current report in the USA demonstrated a dramatic increase in the incidence of young people with type 2 diabetes in recent years. The USA could have a much higher incidence of type 2 diabetes than Japan, possibly due to environmental and behavioral factors. The clinical features of Japanese young people with type 2 diabetes might have some differences from type 2 diabetes in other pediatric populations. Japanese children with type 2 diabetes are likely to be thinner than Caucasian children. Approximately 10–15% Japanese patients with type 2 diabetes exhibit normal weight with milder insulin resistance and substantial insulin secretion failure. Autoimmunity is not associated with the etiology of type 2 diabetes.
Summary
Some genetic background and environmental factors, different from those in Caucasians, could play a role in the development of type 2 diabetes in Japanese children. Considering these characteristics, we must consider adequate therapy and management for young people with type 2 diabetes.</description><identifier>ISSN: 1534-4827</identifier><identifier>EISSN: 1539-0829</identifier><identifier>DOI: 10.1007/s11892-018-0999-z</identifier><identifier>PMID: 29671100</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Autoimmunity ; Child ; Diabetes ; Diabetes Mellitus, Type 2 - diagnosis ; Diabetes Mellitus, Type 2 - epidemiology ; Diabetes Mellitus, Type 2 - genetics ; Humans ; Incidence ; Japan - epidemiology ; Life Style ; Mass Screening ; Medicine ; Medicine & Public Health ; Pediatric Type 2 and Monogenic Diabetes (PS Zeitler and O Pinhas-Hamiel ; Pediatrics ; Section Editors ; Socioeconomic Factors ; Topical Collection on Pediatric Type 2 and Monogenic Diabetes</subject><ispartof>Current diabetes reports, 2018-06, Vol.18 (6), p.29-6, Article 29</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2018</rights><rights>Current Diabetes Reports is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-5a32d7d6d7946bdf9ec57b533b54d9ce03e46cb1986c5fcb01f5ddb11904ee493</citedby><cites>FETCH-LOGICAL-c438t-5a32d7d6d7946bdf9ec57b533b54d9ce03e46cb1986c5fcb01f5ddb11904ee493</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11892-018-0999-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11892-018-0999-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29671100$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Urakami, Tatsuhiko</creatorcontrib><title>Pediatric Type 2 Diabetes in Japan: Similarities and Differences from Type 2 Diabetes in Other Pediatric Populations</title><title>Current diabetes reports</title><addtitle>Curr Diab Rep</addtitle><addtitle>Curr Diab Rep</addtitle><description>Purpose of Review
To review clinical characteristics of pediatric type 2 diabetes in Japan.
Recent Findings
It is well recognized that Asian populations, particularly the Japanese, have a higher incidence of childhood type 2 diabetes. Of note, most Asian populations show a higher incidence of pediatric type 2 diabetes than that of type 1 diabetes. However, a current report in the USA demonstrated a dramatic increase in the incidence of young people with type 2 diabetes in recent years. The USA could have a much higher incidence of type 2 diabetes than Japan, possibly due to environmental and behavioral factors. The clinical features of Japanese young people with type 2 diabetes might have some differences from type 2 diabetes in other pediatric populations. Japanese children with type 2 diabetes are likely to be thinner than Caucasian children. Approximately 10–15% Japanese patients with type 2 diabetes exhibit normal weight with milder insulin resistance and substantial insulin secretion failure. Autoimmunity is not associated with the etiology of type 2 diabetes.
Summary
Some genetic background and environmental factors, different from those in Caucasians, could play a role in the development of type 2 diabetes in Japanese children. Considering these characteristics, we must consider adequate therapy and management for young people with type 2 diabetes.</description><subject>Autoimmunity</subject><subject>Child</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 2 - diagnosis</subject><subject>Diabetes Mellitus, Type 2 - epidemiology</subject><subject>Diabetes Mellitus, Type 2 - genetics</subject><subject>Humans</subject><subject>Incidence</subject><subject>Japan - epidemiology</subject><subject>Life Style</subject><subject>Mass Screening</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Pediatric Type 2 and Monogenic Diabetes (PS Zeitler and O Pinhas-Hamiel</subject><subject>Pediatrics</subject><subject>Section Editors</subject><subject>Socioeconomic Factors</subject><subject>Topical Collection on Pediatric Type 2 and Monogenic Diabetes</subject><issn>1534-4827</issn><issn>1539-0829</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kUlLxTAYRYMozj_AjRTcuKlmbBN38pwRFNR1SJOvGulk0i7015vncwDRVaZz7xc4CO0QfEAwLg8jIVLRHBOZY6VU_raE1olgKseSquWPPc-5pOUa2ojxGWOaUmIVrVFVlCRVrKPxFpw3Y_A2u38dIKPZiTcVjBAz32VXZjDdUXbnW9-Y4Eefrk3nElPXEKCz6VyHvv0rezM-Qch-6m_7YWrM6PsubqGV2jQRtj_XTfRwdno_u8ivb84vZ8fXueVMjrkwjLrSFa5UvKhcrcCKshKMVYI7ZQEz4IWtiJKFFbWtMKmFcxUhCnMArtgm2l_0DqF_mSCOuvXRQtOYDvopaoppKZTElCV07xf63E-hS7-bU4VkkmORKLKgbOhjDFDrIfjWhFdNsJ4r0QslOinRcyX6LWV2P5unqgX3nfhykAC6AGJ66h4h_Iz-v_Udk5OXBw</recordid><startdate>20180601</startdate><enddate>20180601</enddate><creator>Urakami, Tatsuhiko</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20180601</creationdate><title>Pediatric Type 2 Diabetes in Japan: Similarities and Differences from Type 2 Diabetes in Other Pediatric Populations</title><author>Urakami, Tatsuhiko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c438t-5a32d7d6d7946bdf9ec57b533b54d9ce03e46cb1986c5fcb01f5ddb11904ee493</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Autoimmunity</topic><topic>Child</topic><topic>Diabetes</topic><topic>Diabetes Mellitus, Type 2 - diagnosis</topic><topic>Diabetes Mellitus, Type 2 - epidemiology</topic><topic>Diabetes Mellitus, Type 2 - genetics</topic><topic>Humans</topic><topic>Incidence</topic><topic>Japan - epidemiology</topic><topic>Life Style</topic><topic>Mass Screening</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Pediatric Type 2 and Monogenic Diabetes (PS Zeitler and O Pinhas-Hamiel</topic><topic>Pediatrics</topic><topic>Section Editors</topic><topic>Socioeconomic Factors</topic><topic>Topical Collection on Pediatric Type 2 and Monogenic Diabetes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Urakami, Tatsuhiko</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Current diabetes reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Urakami, Tatsuhiko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pediatric Type 2 Diabetes in Japan: Similarities and Differences from Type 2 Diabetes in Other Pediatric Populations</atitle><jtitle>Current diabetes reports</jtitle><stitle>Curr Diab Rep</stitle><addtitle>Curr Diab Rep</addtitle><date>2018-06-01</date><risdate>2018</risdate><volume>18</volume><issue>6</issue><spage>29</spage><epage>6</epage><pages>29-6</pages><artnum>29</artnum><issn>1534-4827</issn><eissn>1539-0829</eissn><abstract>Purpose of Review
To review clinical characteristics of pediatric type 2 diabetes in Japan.
Recent Findings
It is well recognized that Asian populations, particularly the Japanese, have a higher incidence of childhood type 2 diabetes. Of note, most Asian populations show a higher incidence of pediatric type 2 diabetes than that of type 1 diabetes. However, a current report in the USA demonstrated a dramatic increase in the incidence of young people with type 2 diabetes in recent years. The USA could have a much higher incidence of type 2 diabetes than Japan, possibly due to environmental and behavioral factors. The clinical features of Japanese young people with type 2 diabetes might have some differences from type 2 diabetes in other pediatric populations. Japanese children with type 2 diabetes are likely to be thinner than Caucasian children. Approximately 10–15% Japanese patients with type 2 diabetes exhibit normal weight with milder insulin resistance and substantial insulin secretion failure. Autoimmunity is not associated with the etiology of type 2 diabetes.
Summary
Some genetic background and environmental factors, different from those in Caucasians, could play a role in the development of type 2 diabetes in Japanese children. Considering these characteristics, we must consider adequate therapy and management for young people with type 2 diabetes.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>29671100</pmid><doi>10.1007/s11892-018-0999-z</doi><tpages>6</tpages></addata></record> |
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| subjects | Autoimmunity Child Diabetes Diabetes Mellitus, Type 2 - diagnosis Diabetes Mellitus, Type 2 - epidemiology Diabetes Mellitus, Type 2 - genetics Humans Incidence Japan - epidemiology Life Style Mass Screening Medicine Medicine & Public Health Pediatric Type 2 and Monogenic Diabetes (PS Zeitler and O Pinhas-Hamiel Pediatrics Section Editors Socioeconomic Factors Topical Collection on Pediatric Type 2 and Monogenic Diabetes |
| title | Pediatric Type 2 Diabetes in Japan: Similarities and Differences from Type 2 Diabetes in Other Pediatric Populations |
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