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The Future of Treating Youth-Onset Type 2 Diabetes: Focusing Upstream and Extending Our Influence into Community Environments

  • Pediatric Type 2 Diabetes (PS Zeitler, Section Editor)
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Abstract

Type 2 diabetes (T2D) in youth is on the rise and many of these youth already have comorbidity at disease onset. The TODAY trial clearly demonstrated the challenges of treating this disease. Obesity is a key risk factor in the development of youth-onset T2D, and its prevention can mitigate the risk for developing T2D. However, childhood obesity prevention efforts to date have shown only modest effectiveness. Considering the larger, complex socioeconomic and cultural contexts that influence health behaviors among children and their families can enhance prevention efforts. Community-based participatory, multi-component, multi-setting childhood obesity prevention initiatives designed using the socio-ecological model and systems theory have been effective in sustainably decreasing childhood overweight and obesity. To advance our progress in treating and preventing T2D in youth, we must apply this new knowledge on community-wide childhood obesity prevention to enhance the impact of individual-level therapeutic strategies such as the TODAY intervention.

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Acknowledgments

The author thanks Ms. Mika Robertson, Ms. Susan Pinkney, and Ms. Stephanie Shea for their editorial support on this manuscript.

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Conflict of Interest

Shazhan Amed declares that she has no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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Authors and Affiliations

  1. Department of Pediatrics, BC Children’s Hospital, Endocrinology & Diabetes Unit, University of British Columbia, 4480 Oak Street, Room K4-206, Vancouver, BC, V6H3V4, Canada

    Shazhan Amed

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  1. Shazhan Amed
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Correspondence to Shazhan Amed.

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This article is part of the Topical Collection on Pediatric Type 2 Diabetes

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Amed, S. The Future of Treating Youth-Onset Type 2 Diabetes: Focusing Upstream and Extending Our Influence into Community Environments. Curr Diab Rep 15, 7 (2015). https://doi.org/10.1007/s11892-015-0576-7

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  • DOI: https://doi.org/10.1007/s11892-015-0576-7

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