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Vol 272 No 7301 p663
29 May 2004

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Type 2 diabetes going undetected in many British children

The number of children in the UK with type 2 diabetes may be far greater than previously thought.

In a letter to the BMJ, workers from the International Obesity TaskForce calculate that there may now be around 1,400 children with the disease. Using a survey of obesity in English schoolchildren, they also determined that around 20,000 obese children may have impaired glucose tolerance.

“That we are not recording these high numbers indicates that the problem may be hidden,” the authors say, adding that doctors should be vigilant for symptoms such as thrush (22 May, p1261).

Penny Williams, care adviser, Diabetes UK, says that, at the moment, there are only around 100 reported cases of children with type 2 diabetes in the UK.

The House of Commons Health Committee was due to publish a report on obesity on 27 May. It will recommend a number of measures to combat obesity including the introduction of a traffic-light system for labelling foods (ie, red for the most energy-dense foods that should be eaten in moderation) and measures to increase physical activities such as walking and cycling.

The report will criticise primary care trusts for failing to make obesity as high a priority as it believes it should have been. The establishment of a strategic framework for prevention and treatment of obesity within the NHS will be recommended.

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