ABSTRACT
Historically, diabetes in youth was believed to be almost entirely Type 1 (autoimmune and insulin dependent) diabetes. In contrast, those over 30 years at the time of onset were considered to have type 2 diabetes (T2DM), defined as diabetes resulting from insulin resistance (IR), with a concomitant insulin secretory defect (1). Although T2DM has been traditionally viewed as an adult disease, as risk increases with advancing age, the question of whether T2DM is a pediatric disease is now being answered in the affirmative. An increasing proportion of youth with apparent T2DM is reported, especially in minority populations (2-4).
