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treat the patient as a whole, including obesity, insulin resistance, dyslipidemia, hypertension, and psychosocial disorders—all conditions frequently present in youth who have T2DM. Finally, as we gain more experience—both clinical and research—our approaches to some of these problems and recommendations may change over time. In addition to research, public health measures to increase activities of children and youth, along with public education campaigns for healthy eating may have a profound influence in curbing the epidemic of obesity and its related complications.

Acknowledgments

We are indebted to the children and their parents who participated in our research studies that facilitated our understanding of T2DM and related conditions.

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