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Introduction Pediatric type 2 diabetes (T2D) has become a global public health concern driven by childhood obesity ( As up to 50% of children with T2D are asymptomatic at presentation and are mostly diagnosed when screened because they have obesity, the current prevalence and incidence rates for T2D likely underestimate the true scale of the disease in children ( T2D presents as an aggressive disease with multiple comorbidities, and patients have a progressive failure of -cell function and progress to insulin dependence within 3-5 years post-diagnosis

Effects vary depending on individual hydration, nutrition and lifestyle