Manejo de la diabetes mellitus tipo 2 en adolescentes y adultos jóvenes en atención primaria

  1. S. Miravet-Jiménez 1
  2. M.P. Pérez-Unanua 2
  3. M. Alonso-Fernández 3
  4. F.J. Escobar-Lavado 4
  5. B. González-Mohino Loro 5
  6. A. Piera-Carbonell 6
  1. 1 EAP Martorell urbà-Institut Català de la Salut, Barcelona, España
  2. 2 CS Dr. Castroviejo, Servicio de Salud de la Comunidad de Madrid, Madrid, España
  3. 3 EAP La Ería, Servicio de Salud del Principado de Asturias, Oviedo, Asturias, España
  4. 4 CS Valsequillo, Servicio Canario de Salud, Las Palmas, Canarias, España
  5. 5 CS La Puebla de Montalbán, Servicio de Salud de Castilla-La Mancha, Toledo, España
  6. 6 CS Luanco, Servicio de Salud del Principado de Asturias, Gozón, Asturias, España
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Journal:
Semergen: revista española de medicina de familia

ISSN: 1138-3593

Year of publication: 2020

Issue: 6

Pages: 415-424

Type: Article

DOI: 10.1016/J.SEMERG.2019.11.008 DIALNET GOOGLE SCHOLAR

More publications in: Semergen: revista española de medicina de familia

Sustainable development goals

Abstract

The prevalence of type 2 diabetes (DM2) diagnosed in childhood and adolescence is currently increasing, and is characterised by a rapidly progressive decline in beta-cells and insulin resistance. Physical inactivity and obesity are the main risk factors for its development. Diagnostic criteria are similar to those used in adults, although HbA1c as a diagnostic method is questioned. Diabetes-related complications are more aggressive than in adults. Diabetic nephropathy is the most frequent complication in the young population and macrovascular complications appear early, leading to high mortality rates. Healthy lifestyles are the basis of the treatment, and metformin, insulin and liraglutide (approved by FDA for its use in the United States) are the pharmacological options indicated in this population. It is important to establish models of health care transition from paediatric to adult care to ensure continuity of care and avoid patient disengagements.

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Funding information

A los miembros del GT de diabetes de la SEMERGEN que han colaborado en este art?culo: Abdurrahman Adlbi Sibai, Laia Homedes Celma, Diego Murillo Garc?a, Ana Olivares Loro, Andr?s Sim?n Fuentes y a nuestra coordinadora nacional Flora L?pez Simarro.

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