Type 2 Diabetes in a Nigerian Adolescent:Diagnostic and Management Challenges in a Resource poor Setting

Type 2 diabetes in children and adolescents is an emerging clinical problem globally in the last three decades. Previously it was thought that type 2 DM does not affect children and adolescents. There is need for high index of suspicion especially in obese children and adolescents who have positive family history of type 2 diabetes. We present a case of a newly diagnosed type 2 DM in a female adolescent previously thought to have type 1 DM. She presented with weight loss, polyuria, polydipsia and polyphagia. She had a positive family history of type 2 DM. She was previously managed as Type 1 DM but when hyperglycaemia was not responding to insulin therapy and fasting serum C-Peptide was within normal limit, a diagnosis of type 2 DM was made and she has since been doing well on oral hypoglycaemic agent.