Endocrine Abstracts

JOINT2111

Introduction: Type 2 diabetes (T2D) is defined as hyperglycemia caused by insulin resistance, it was the prerogative of the adult subject but its frequency has increased significantly in recent decades in parallel with the increase in the rate of obesity. Management is either non-pharmacological involving diet management and physical activity (cases of diagnosis made in the context of screening or without metabolic decompensation), or pharmacological (in association with the above mentioned measures) with metformin and sometimes insulin therapy in the first weeks to compensate for insulinopenia (cases of metabolic decompensation).

Material and Methods: In our specialized pediatric endocrinology and diabetology consultation, we collected 34 children and young adolescents with T2D,.

Result: Among our patients, 26 of them have at least 2 years of evolution, 6 are on dietary measures only, 4 are on insulins with metformin and 16 are on metformin only. Patients who have remained overweight are on insulin with poor glycemic control, which further shows the role of obesity in insulin resistance.

Conclusions: The rate of T2D and obesity in children has increased in parallel, diet and weight management is a necessary condition for having a good glycemic balance.