Case of type 2 diabetes possibly caused by excessive accumulation of visceral fat in a child born small‐for‐gestational age

We encountered a 12‐year‐old boy with type 2 diabetes who was born small‐for‐gestational age. We described his clinical characteristics and a possible etiological factor for development of hyperglycemia. He developed well with sufficient nutrition and progressed to being overweight at 6 years‐of‐age...

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Bibliographic Details
Published in:Journal of diabetes investigation 2020-09, Vol.11 (5), p.1366-1369
Main Authors: Kuwabara, Remi, Urakami, Tatsuhiko, Yoshida, Kei, Morioka, Ichiro
Format: Article
Language:English
Subjects:
Age
Body weight
Case Report
Child
Cholesterol
Diabetes
Diabetes mellitus (non-insulin dependent)
Diabetes Mellitus, Type 2 - etiology
Diabetes Mellitus, Type 2 - pathology
Gestational age
Glucose
Glucose tolerance
Hemoglobin
High protein diet
Homeostasis
Humans
Hyperglycemia
Hypotheses
Infant, Newborn
Infant, Small for Gestational Age
Insulin
Insulin resistance
Intra-Abdominal Fat - physiopathology
Male
Metabolic syndrome
Obesity
Overweight
Plasma
Prognosis
Small for gestational age
Standard deviation
Tomography
Type 2 diabetes
Urine
Visceral fat
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Summary:We encountered a 12‐year‐old boy with type 2 diabetes who was born small‐for‐gestational age. We described his clinical characteristics and a possible etiological factor for development of hyperglycemia. He developed well with sufficient nutrition and progressed to being overweight at 6 years‐of‐age as a result of a high‐calorie, high‐protein intake diet. He showed a diabetic pattern with a normal insulin response on an oral glucose tolerance test carried out with the urine glucose screening program at schools. He showed a large total fat area of 239.4 cm2; in particular, his visceral fat area was 103.0 cm2 with a high ratio of visceral fat area to subcutaneous fat area (0.76). The present case might show that insulin resistance, possibly as a result of accumulation of a great amount of visceral fat, might be attributed to the pathogenesis of type 2 diabetes in children born small‐for‐gestational age. We described the clinical characteristics and a possible etiological factor for the development of hyperglycemia in a 12‐year‐old boy with type 2 diabetes who was born small‐for‐gestational age.
ISSN:2040-1116
2040-1124
DOI:10.1111/jdi.13246