Ask The Expert
Diagnosis & Symptoms

Thank you for asking the question that is on every parent's mind. As you can imagine, there is no exact answer, especially since the research and knowledge about diabetes is always changing, and even the exact cause of diabetes has many components.

Obesity and Inactivity:

It is true that there has been a dramatic rise in type 2 diabetes in children and teens, due to the increase in obesity. Studies have recently shown that our children are getting used to "super-sized" portions, consuming too much fast food and sugary soft drinks, and are less active. So yes, your son could reduce his risk significantly by controlling his weight and adopting a healthy lifestyle with regular activity.

Screening for diabetes:

You should discuss with your doctor regarding how frequently your son should be screened. According to the ADA, there are not yet specific guidelines for screening children, but a study reported in the March 14, 2002 issue of The New England Journal of Medicine reported that 25% of very obese children and 21% of very obese adolescents have pre-diabetes. In 2005 the Centers for Disease Control and Prevention (CDC) estimates roughly 2 million children ages 12 - 19 have pre-diabetes. So your doctor may want to consider screening your son every one to three years, as is currently recommended for adults with risk factors.

Conclusion:

I have provided additional resources at the end of this answer. You will see a common thread--that there is significant emphasis placed on weight loss and regular activity; furthermore, studies show that family involvement/support can positively affect one's ability to maintain a healthy lifestyle. What this means is that I hope you and your entire family have realized that you alone are not on a "diabetic diet" but rather that the entire family should adopt the same healthy eating and activity patterns.

Naturally, just telling you to have your son "control his weight and get more active" is not enough to solve the problem. I'd recommend you discuss this with your healthcare team-especially your doctor and dietitian-because ideally your son should meet with the dietitian to obtain an individual assessment and meal/activity plan.

Best wishes for good health for you and your family.