Previously Type1 diabetes was the commonest cause of childhood diabetes. Where children are lean and complains of sudden onset of increased urination, thirst, weight loss. These patients have ketosis prone diabetes and so require insulin three to four times daily and life long for survival. Here the family history of diabetes in parents is not frequently present.
But now in our age of fast food and computer in school with minimal physical activity childhood obesity is growing like wild fire.Type2 diabetes is increases in this group of overweight or obese children specially with a family history of Type 2 (an adult onset) Diabetes. The main treatment of the patients is lifestyle management with diet and physical activity. If not controlled oral agents like metformin may be used to control diabetes.
But at all ages comprehensive diabetes management well control of blood sugar, lipids and B/P is essential to prevent the dreaded complications of diabetes without affects the Kidney,Heart, Nerves, Liver, Retina of eye.