Table 1. Special types of diabetes mellitus in childhood and adolescence.
Common special types | Etiology | Treatment |
Type 2 diabetes mellitus | multifactorial | lifestyle intervention, oral antidiabetic drugs, insulin therapy |
MODY 2 | glucokinase defect autosomal dominant |
often without medication |
MODY 3 | HNF1α defect autosomal dominant |
sulfonylureas, glinides |
Neonatal diabetes | mutation in the KIR6.2/KCNJ1 gene | insulin therapy, sulfonylureas |
CF-associated diabetes | impaired insulin secretion, insulin resistance |
insulin therapy, oral antidiabetic drugs |
Down syndrome | genetic | insulin therapy |
Wolfram (DIDMOAD) syndrome | genetic | insulin therapy |
Prader-Willi-Labhart syndrome | genetic | similar to type 2 diabetes mellitus |
CF, cystic fibrosis; MODY, maturity-onset diabetes of the young