J Korean Diabetes.  2020 Mar;21(1):6-10. 10.4093/jkd.2020.21.1.6.

Management of Type 2 Diabetes Mellitus in Adolescents and Young Adults

  • 1Division of Endocrinology and Metabolism, Department of Internal Medicine, Jeonbuk National University Hospital, Jeonbuk National University Medical School, Jeonju, Korea


Although type 1 diabetes remains more common among children and adolescents, the prevalence of obesity and type 2 diabetes among children, adolescents, and young adults is dramatically increasing. Young-onset type 2 diabetes exhibits a stronger family history, a greater association with obesity, early loss of insulin secretion capacity with insulin resistance, early onset and rapid progression of chronic complications, and frequent need for early introduction of insulin. Therefore, the management of type 2 diabetes in this age group is challenging and there are age-specific concerns. Young-onset type 2 diabetes affects more individuals of working age, increasing the adverse societal effects of the disease. This article describes the epidemiology, pathophysiology, diagnosis, and management of type 2 diabetes in adolescents and young adults.


Adolescents; Diabetes mellitus, type 2; Young adult


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