RT Book, Section
A1 Rosenbloom, Arlan L.
A2 Rudolph, Colin D.
A2 Rudolph, Abraham M.
A2 Lister, George E.
A2 First, Lewis R.
A2 Gershon, Anne A.
SR Print(0)
ID 7055236
T1 Chapter 544. Diabetes Mellitus
T2 Rudolph's Pediatrics, 22e
YR 2011
FD 2011
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-149723-7
LK accesspediatrics.mhmedical.com/content.aspx?aid=7055236
RD 2024/04/19
AB Until  the  1970s,  the  care  of  childhood  diabetes  was  pursued  by  internists,  pediatricians,  nephrologists,  and  general  physicians.  In  1971  it  was  estimated  that  visits  for  diabetes  by  those  0  to  15  years  of  age  were  equally  divided  among  internists,  general  physicians,  and  general  pediatricians.1  At  that  time  there  were  few  pediatric  endocrinologists,  and  most  of  them  did  not  consider  diabetes  to  be  an  endocrine  disorder.  By  1993,  pediatricians  accounted  for  two  thirds  of  all  visits  of  0-  to  21-year-old  diabetes  patients,  and  over  half  of  these  were  to  pediatric  endocrinologists;  the  remainder  were  to  internists  (most  likely  the  older  adolescents  and  young  adults).2  The  contemporary  epidemic  of  obesity-related  type  2  diabetes  (T2D)  in  youth  has  confronted  pediatricians  and  pediatric  diabetes  specialists  with  responsibility  for  a  condition  that  was  previously  rare  in  the  pediatric  age  group.  This  obesity/T2D  epidemic  has  had  pediatricians  dealing  with  various  comorbidities  of  insulin  resistance  that  were  formerly  the  exclusive  domain  of  physicians  treating  adults.3