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Type 2 Diabetes

Type 2 diabetes increase in young people

There are nearly 7,000 children and young adults under 25 with type 2 diabetes in England and Wales – about 10 times the number reported before, according to Diabetes UK. Its analysis of 2016-17 data found most were being treated in GP practices rather than in specialist units. The condition is linked to obesity and is more aggressive in children.

Child health experts said the government should act now to implement proposals to cut childhood obesity. The Obesity Health Alliance said it was “hugely concerning” to see so many young people diagnosed with type 2 diabetes. “We know that obesity contributes to the development of this and other serious health conditions, and with one in three children leaving primary school with excess weight or obesity, these findings are worrying but sadly not surprising,” said Caroline Cerny, from the Alliance.

The new figures come from the latest National Diabetes Audit for 2016-2017 which contains information on cases of type 2 diabetes from 95% of GP practices in England and Wales, as well as numbers treated in specialist paediatric units.

It found that a total of 6,836 children and young people aged under 25 were being treated for the condition.

This includes:

  • 11 five to nine-year-olds
  • 196 10 to 14-year-olds
  • 1,246 15 to 19-year-olds
  • 5,383 20 to 24 year-olds

But  a previous from the Royal College of Paediatrics and Child Health, suggested the figure was 715 – the number of children and young people receiving care for type 2 diabetes from paediatric diabetes units in England and Wales. These units provide specialist support to young people. Some may be at risk of the condition progressing quickly, creating other health complications, such as blindness, amputations, heart disease and kidney failure. GPs also provide lifestyle advice and support and many young people are treated in primary care.

Family history and ethnic background, as well as obesity, are factors in children and young people developing type 2 diabetes. Prof Russell Viner, president of the Royal College of Paediatrics and Child Health, said these new figures emphasised the need to act. “For many children, the development of type two diabetes can be prevented with lifestyle changes, but this isn’t easy – they need support. “That’s why we were pleased to see the ambitious proposals set out in chapter two of its Childhood Obesity Plan. We urge the government to maximise their impact by introducing them all and doing so quickly.”

A spokesman for the Department of Health and Social Care said it was committed to halving child obesity by 2030. “We will be launching consultations to restrict promotions in shops for sugary and fatty foods, as well as a 9pm watershed ban on advertising. “The upcoming NHS long-term plan will have prevention at its core and build on our existing work to keep people healthy and well.”

About Dr Gerlis

Dr Laurence Gerlis qualified with double First Class Honours from Clare College Cambridge where he was a scholar and William Butler prize winner - he was a Price scholar at the Royal London Hospital. He was responsible for the first-ever worldwide approval of human insulin for use in patients. Dr Gerlis is a Member of the Royal Colleges of Physicians and holds the Diploma in Pharmaceutical Medicine (DPM).

Dr Gerlis
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