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• W2183130632 abstract "R M Gali, Y P Mamza, and J Adeonote, Department of Medical Laboratory Science; also D S Mshelia, Department of Chemical Pathology; all at College of Medical Sciences, University of Maiduguri, Nigeria. Correspondence to Mrs Rebecca Mtaku Gali, Department of Medical Laboratory Science, College of Medical Sciences, University of Maiduguri, ,Maiduguri, Nigeria. Email: rmgali@yahoo.com Introduction Type 2 diabetes was once a disease occurring primarily, if not exclusively, in adults. Today the age of diagnosis is disquietingly declining accounting for about 8% to 45% of all new cases of diabetes in children and teenagers.1–4 Various centres have reported a 10 to 30-fold increase in American children with type 2 diabetes in the past 10 to 15 years, and in the next 15 years it is anticipated that the global incidence of type 2 diabetes in children and adolescents will increase by up to 50%.2,3,5 An alarming increase is also noticed in Canada,6 the UK,7 urban South-Asia,8 and Japan.9 Hence there seem to be increasing reports of type 2 diabetes in children and adolescents worldwide10 but a paucity of reports from Africa.11 However, according to a World Health Organization (WHO) non-communicable disease (NCD) surveillance report,12 and a report from the WHO regional office for Africa13 on the emerging NCD epidemic in that continent there is a wide dichotomy of prevalence of type 2 diabetes between rural and urban Abstract Reports of the age of diagnosis of type 2 diabetes are declining, with a paucity of information in Africa. We therefore screened young university undergraduates to determine the current status of fasting plasma glucose among adolescents and young adults in Africans living in Africa. Two hundred and thirty (230), age range 18 to 35 years, participated in the study. Mean (+SD) age was 23+6y, BMI 22.2+3.8 kg/m2, and fasting plasma glucose (FPG) 4.1+0.6 mmol/L. There was a positive but not a statistically significant correlation between BMI and FPG , but a statistically significant correlation between BMI and FPG in males but not in females. No subjects were found to have type 2 diabetes. areas, mainly due to a ‘westernised’ lifestyles, which are of concern to African diabetes services. The most important factor associated with the epidemic of type 2 diabetes and its declining age of onset is overweight/obesity and this appears to be due to increased calorie intake and a sedentary lifestyle.14–16 About half of patients with type 2 diabetes are diagnosed without symptoms and 50% have at least one diabetes-specific complication on diagnosis. Subsequently, the focus is increasing on the prevention, detection, and effective treatment of diabetes. We have screened young university undergraduates to demonstrate whether the declining age of onset of type 2 diabetes noticed in developed nations has started to manifest itself among adolescents and young adults in Africans living in Africa." @default.
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• W2183130632 date "2009-01-01" @default.
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• W2183130632 title "Is screening for type 2 diabetes worthwhile in adolescents and young adults in developing countries" @default.
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