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Review
. 2020 Jun 9:11:370.
doi: 10.3389/fendo.2020.00370. eCollection 2020.

Vascular Complication in Adolescents With Diabetes Mellitus

Lara E Graves  1 , Kim C Donaghue  1   2
Affiliations
Review

Vascular Complication in Adolescents With Diabetes Mellitus

Lara E Graves et al. Front Endocrinol (Lausanne). .

Abstract

Diabetes mellitus is becoming more prevalent and even with new advancements which improve glycaemic control, complications of diabetes are common. Vascular complications of diabetes include the microvascular complications: retinopathy, nephropathy, and peripheral and autonomic neuropathy. Macrovascular complications are also common in patients with diabetes and arguably more concerning as they confer a high mortality risk yet are sometimes under-treated. Risk factors for diabetes complications start to occur in childhood and adolescents and some youths may be diagnosed with complications before transition to adult care. This article discusses the prevalence, risk factors, screening, and treatment recommendations for vascular complications in children and adolescents with diabetes.

Keywords: diabetes complications; macrovascular; microvascular; nephropathy; neuropathy; retinopathy.

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Figures

Figure 1
Figure 1
Retinal photography demonstrating proliferative retinopathy in a 15-year-old girl with 12 years diabetes duration and poor metabolic control. This had rapidly progressed from minimal retinopathy documented 2 years before.
See this image and copyright information in PMC

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