Type 2 diabetes mellitus in an obese adolescent girl in Bauchi, northeast Nigeria

  • Muhammad Faruk Bashir | mbashirfaruk@gmail.com Department of Pediatrics, Abubakar Tafawa Balewa University Teaching Hospital Bauchi, Nigeria.
  • Idris Abiodun Adedeji Department of Pediatrics, Abubakar Tafawa Balewa University Teaching Hospital Bauchi, Nigeria.
  • Adamu Sa'idu Adamu Department of Pediatrics, Abubakar Tafawa Balewa University Teaching Hospital Bauchi, Nigeria.
  • Yusuf Abdu Misau Department of Community Medicine, College of Medical Sciences, Abubakar Tafawa Balewa University Bauchi, Nigeria.
  • Nurrudeen Tanimu Dariya Department of Pediatrics, Abubakar Tafawa Balewa University Teaching Hospital Bauchi, Nigeria.
  • Abbas Mohammed Abdulsalam Department of Pediatrics, Abubakar Tafawa Balewa University Teaching Hospital Bauchi, Nigeria.

Abstract

The prevalence of type 2 diabetes mellitus (T2DM) among children and adolescents is on the rise and this correlates well with increasing prevalence of obesity and overweight worldwide. T2DM was thought to be a disease of the adults, however this has since changed. High index of suspicion is required especially in obese children with family history of type T2DM. To the best of our literature search, till date, no case was reported from Northeast Nigeria. We hereby report a case of newly diagnosed type 2 DM in a 14-year old obese teenage girl, who presented with polyuria, polydipsia and weight loss. Her father is a T2DM patient. She had acanthosis and multiple ovarian cysts. She underwent acute phase of care with insulin before discharge and has remained euglycaemic and clinically state on oral hypoglycaemic agent.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

References

O. Pinhas-Hamiel, M.A. Sperling: Type 2 diabetes mellitus; in Z. Hochberg (ed): Practical Algorithms in Paediatric Endocrinology, ed. 3rd revised, Haifa, KARGER, 2017, 108-109.

Kiess W, Böttner A, Raile K, Kapellen T, Müller G, Galler A, Paschke R, Wabitsch M. Type 2 diabetes mellitus in children and adolescents: a review from a European perspective. Horm Res 2003; 59 Suppl 1: 77-84 [PMID: 12566725 DOI:10.1159/000067829] DOI: https://doi.org/10.1159/000067829

Arslanian S. Type 2 diabetes in children: clinical aspects and risk factors. Horm Res 2002; 57 Suppl 1: 19-28 [PMID: 11979018 DOI: 10.1159/000053308] DOI: https://doi.org/10.1159/000053308

Fagot-Campana A, Pettitt DJ, Engelgau MM, et al. Type 2 diabetes among North American children and adolescents: an epidemiologic review and a public health perspective. J Pediatr. 2000;136:664-672. DOI: https://doi.org/10.1067/mpd.2000.105141

American Diabetes Association. Type 2 diabetes in children and adolescents. Pediatrics. 2000;105:671-680 DOI: https://doi.org/10.1542/peds.105.3.671

Lobstein T, Frelut ML. Prevalence of overweight among children in Europe. Obes Rev 2003; 4: 195-200 [PMID: 14649370 DOI: 10.1046/j.1467-789X.2003.00116.x] DOI: https://doi.org/10.1046/j.1467-789X.2003.00116.x

Han JC, Lawlor DA, Kimm SY. Childhood obesity. Lancet 2010; 375: 1737-1748 [PMID: 20451244 DOI: 10.1016/ S0140-6736(10)60171-7] DOI: https://doi.org/10.1016/S0140-6736(10)60171-7

Reinehr T. Type 2 diabetes mellitus in children and adolescents. World J Diabetes 2013; 4(6): 270-281 Available from: URL: http://www.wjgnet.com/1948-9358/full/v4/i6/270.htm DOI: http://dx.doi.org/10.4239/wjd.v4.i6.270 DOI: https://doi.org/10.4239/wjd.v4.i6.270

Arslanian SA. Type 2 diabetes mellitus in children: pathophysiology and risk factors. J Pediatr Endocrinol Metab 2000; 13 Suppl 6: 1385-1394 [PMID: 11202214] DOI: https://doi.org/10.1515/jpem-2000-s612

Oluwayemi IO. (2017) Type 2 Diabetes in a Nigerian Adolescent: Diagnostic and Management Challenges in a Resource poor Setting Int J Ped & Neo Heal. 1:3, 74-76.

Otaigbe BE1, Imafidon EE.Type 2 diabetes mellitus in a Nigerian child: a case report. Afr Health Sci 2011 Sep;11(3):454-6.

Anochie IC, Tabansi PN. Type 11 diabetes mellitus in a 15- year- old female with congenital hypothyroidism. Port Harcourt Medical Journal. 2010;5:105–109.

Rosenbloom AL, Silverstein JH, Amemiya S, Zeitler P, Klingensmith GJ. ISPAD Clinical Practice Consensus Guidelines 2006-2007. Type 2 diabetes mellitus in the child and adolescent. Pediatr Diabetes 2008; 9: 512-526 [PMID: 18694453 DOI: 10.1111/j.1399-5448.2008.00429.x] DOI: https://doi.org/10.1111/j.1399-5448.2008.00429.x

Weiss R, Dziura J, Burgert TS, Tamborlane WV, Taksali SE, Yeckel CW, Allen K, Lopes M, Savoye M, Morrison J, Sherwin RS, Caprio S. Obesity and the metabolic syndrome in children and adolescents. N Engl J Med 2004; 350: 2362-2374 [PMID: 15175438 DOI: 10.1056/NEJMoa031049] DOI: https://doi.org/10.1056/NEJMoa031049

Taksali SE, Caprio S, Dziura J, Dufour S, Calí AM, Goodman TR, Papademetris X, Burgert TS, Pierpont BM, Savoye M, Shaw M, Seyal AA, Weiss R. High visceral and low abdominal subcutaneous fat stores in the obese adolescent: a determinant of an adverse metabolic phenotype. Diabetes 2008; 57: 367-371 [PMID: 17977954 DOI: 10.2337/db07-0932] DOI: https://doi.org/10.2337/db07-0932

Reinehr T. Clinical presentation of type 2 diabetes mellitus in children and adolescents. Int J Obes (Lond) 2005; 29 Suppl 2: S105-S110 [PMID: 16385761 DOI: 10.1038/sj.ijo.0803065] DOI: https://doi.org/10.1038/sj.ijo.0803065

Pinhas-Hamiel O, Lerner-Geva L, Copperman NM, Jacobson MS. Lipid and insulin levels in obese children: changes with age and puberty. Obesity (Silver Spring) 2007; 15: 2825-2831 [PMID: 18070774 DOI: 10.1038/oby.2007.335] DOI: https://doi.org/10.1038/oby.2007.335

Levitsky LL. Type 2 diabetes: the new epidemic of childhood. Presented at the American Academy of Pediatrics Annual Meeting; October 19-23, 2002; Boston, Massachusetts.

American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care 2013; 36 Suppl 1: S67-S74 [PMID: 23264425 DOI: 10.2337/dc13-S067] DOI: https://doi.org/10.2337/dc13-S067

Jones KL, Arslanian S, Peterokova VA, Park JS, Tomlinson MJ. Effect of metformin in pediatric patients with type 2 diabetes: a randomized controlled trial. Diabetes Care 2002; 25: 89-94 [PMID: 11772907 DOI: 10.2337/diacare.25.1.89] DOI: https://doi.org/10.2337/diacare.25.1.89

Nathan Bradon M. the increase of type 2 diabetes mellitus in children.www.minnesotamedicine.com/Pastissues/Pastissues2007/November2007/ClinicalNathanNovember2007.aspx. [PubMed]

Published
2019-07-05
Info
Issue
Section
Case Reports
Keywords:
Type 2 diabetes mellitus, obesity, adolescent, Bauchi
Statistics
  • Abstract views: 435

  • PDF: 227
How to Cite
Bashir, Muhammad Faruk, Idris Abiodun Adedeji, Adamu Sa’idu Adamu, Yusuf Abdu Misau, Nurrudeen Tanimu Dariya, and Abbas Mohammed Abdulsalam. 2019. “Type 2 Diabetes Mellitus in an Obese Adolescent Girl in Bauchi, Northeast Nigeria”. Annals of African Medical Research 2 (1). https://doi.org/10.4081/aamr.2019.73.