Shortcuts

open access

Vol 1, No 3 (2005)
OPISY PRZYPADKÓW
Published online: 2005-09-26
Get Citation

Metabolic syndrome and type 2 diabetes in 16-years-old boy - case report

Bogda Skowrońska, Piotr Fichna, Katarzyna Majewska, Witold Stankiewicz, Marek Niedziela
Endokrynol. Otył. Zab. Przem. Mat 2005;1(3):40-44.

open access

Vol 1, No 3 (2005)
OPISY PRZYPADKÓW
Published online: 2005-09-26

Abstract

The metabolic syndrome is associated with increased risk of type 2 diabetes mellitus and atherosclerotic cardiovascular disease. Criteria of metabolic syndrome in adults include central obesity, dyslipidemia, impaired glucose tolerance and hypertension. The incidence of obesity, as well as metabolic syndrome, in population of Poland is increasing.
Authors describe the case of 16-year-old boy admitted to the hospital because of accidentally diagnosed impaired fasting glucose. Family history appeared to be positive in terms of obesity, type 2 diabetes mellitus, hypertension, dyslipidemia and ischemic heart disease. Physical examination revealed abdominal obesity (BMI 32.9; WHR > 1), acanthosis nigricans, and elevated blood pressure. The main laboratory findings were as follows: blood glucose levels between 156 and 296 mg/dl; HbA1c - 10.7%, dyslipidemia, and elevated liver enzymes activity. Ultrasound of the abdomen showed signs of fatty liver. Intensive pharmacological treatment, as well as dietetic and diabetic education were performed and modification of the lifestyle was ordered. The boy was readmitted to the hospital after 6 month therapy to perform the control tests. Laboratory findings improved significantly, despite of the weight stability. Metabolic syndrome should be diagnosed early, when effective treatment may prevent the development of type 2 diabetes mellitus and its complications. It is advised to perform tests for elements of metabolic syndrome in overweight and obese children, especially in those with a positive family history.

Abstract

The metabolic syndrome is associated with increased risk of type 2 diabetes mellitus and atherosclerotic cardiovascular disease. Criteria of metabolic syndrome in adults include central obesity, dyslipidemia, impaired glucose tolerance and hypertension. The incidence of obesity, as well as metabolic syndrome, in population of Poland is increasing.
Authors describe the case of 16-year-old boy admitted to the hospital because of accidentally diagnosed impaired fasting glucose. Family history appeared to be positive in terms of obesity, type 2 diabetes mellitus, hypertension, dyslipidemia and ischemic heart disease. Physical examination revealed abdominal obesity (BMI 32.9; WHR > 1), acanthosis nigricans, and elevated blood pressure. The main laboratory findings were as follows: blood glucose levels between 156 and 296 mg/dl; HbA1c - 10.7%, dyslipidemia, and elevated liver enzymes activity. Ultrasound of the abdomen showed signs of fatty liver. Intensive pharmacological treatment, as well as dietetic and diabetic education were performed and modification of the lifestyle was ordered. The boy was readmitted to the hospital after 6 month therapy to perform the control tests. Laboratory findings improved significantly, despite of the weight stability. Metabolic syndrome should be diagnosed early, when effective treatment may prevent the development of type 2 diabetes mellitus and its complications. It is advised to perform tests for elements of metabolic syndrome in overweight and obese children, especially in those with a positive family history.
Get Citation

Keywords

metabolic syndrome; type 2 diabetes; obesity; adolescents; prophylaxis

About this article
Title

Metabolic syndrome and type 2 diabetes in 16-years-old boy - case report

Journal

Endocrinology, Obesity and Metabolic Disorders

Issue

Vol 1, No 3 (2005)

Pages

40-44

Published online

2005-09-26

Page views

1201

Article views/downloads

2813

Bibliographic record

Endokrynol. Otył. Zab. Przem. Mat 2005;1(3):40-44.

Keywords

metabolic syndrome
type 2 diabetes
obesity
adolescents
prophylaxis

Authors

Bogda Skowrońska
Piotr Fichna
Katarzyna Majewska
Witold Stankiewicz
Marek Niedziela

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

Wydawcą serwisu jest "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk,

tel. +48 58 320 94 94, faks +48 58 320 94 94, e-mail:  viamedica@viamedica.pl