I
ncreases in childhood obesity have
been accompanied by an increased incidence
of type 2 diabetes in youth.1,2 Because the risk
of microvascular and macrovascular complications
in adults increases with both the duration of diabetes
and lack of glycemic control,3,4 it is imperative
to achieve and sustain metabolic control in
youth. Addressing the physiological and psychological
changes that normally occur during adolescence
requires a high level of family involvement
and makes the achievement of stringent
treatment goals especially difficult in the case of
adolescents with diabetes.5,6 These challenges are
heightened in disadvantaged populations, which
are over-represented among adolescents with type
2 diabetes.
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