{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T16:05:23Z","timestamp":1777910723751,"version":"3.51.4"},"reference-count":57,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2010,10,13]],"date-time":"2010-10-13T00:00:00Z","timestamp":1286928000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diabetes Educ"],"published-print":{"date-parts":[[2010,11]]},"abstract":"<jats:p>Purpose<\/jats:p>\n                  <jats:p>The purpose of this article was to summarize scientific knowledge from an expert panel on reproductive health among adolescents with type 2 diabetes (T2D).<\/jats:p>\n                  <jats:p>Methods<\/jats:p>\n                  <jats:p>Using a mental model approach, a panel of experts\u2014 representing perspectives on diabetes, adolescents, preconception counseling, and reproductive health\u2014was convened to discuss reproductive health issues for female adolescents with T2D.<\/jats:p>\n                  <jats:p>Results<\/jats:p>\n                  <jats:p>Several critical issues emerged. Compared with adolescents with type 1 diabetes, (1) adolescents with T2D may perceive their disease as less severe and have less experience managing it, putting them at risk for complications; (2) T2D is more prevalent among African Americans, who may be less trusting of the medical establishment; (3) T2D is associated with obesity, and it is often difficult to change one\u2019s lifestyle within family environments practicing sedentary and dietary behaviors leading to obesity; (4) teens with T2D could be more fertile, because obesity is related to earlier puberty; (5) although obese teens with T2D have a higher risk of polycystic ovary syndrome, which is associated with infertility, treatment with metformin can increase fertility; and (6) women with type 2 diabetes are routinely transferred to insulin before or during pregnancy to allow more intensive management.<\/jats:p>\n                  <jats:p>Conclusions<\/jats:p>\n                  <jats:p>Findings from the expert panel provide compelling reasons to provide early, developmentally appropriate, culturally sensitive preconception counseling for teens with T2D.<\/jats:p>","DOI":"10.1177\/0145721710383586","type":"journal-article","created":{"date-parts":[[2010,10,14]],"date-time":"2010-10-14T03:23:24Z","timestamp":1287026604000},"page":"911-919","source":"Crossref","is-referenced-by-count":15,"title":["Implications of Type 2 Diabetes on Adolescent Reproductive Health Risk"],"prefix":"10.1177","volume":"36","author":[{"given":"Julie S.","family":"Downs","sequence":"first","affiliation":[{"name":"Carnegie Mellon University, Pittsburgh, Pennsylvania,\rdowns@cmu.edu"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silva","family":"Arslanian","sequence":"additional","affiliation":[{"name":"Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W\u00e4ndi","family":"Bruine de 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Lexington"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joan","family":"Mansfield","sequence":"additional","affiliation":[{"name":"Joslin Diabetes Clinic Boston, Harvard Medical School,\rBoston, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pamela J.","family":"Murray","sequence":"additional","affiliation":[{"name":"Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil","family":"White","sequence":"additional","affiliation":[{"name":"St Louis Children's Hospital, Washington University,\rSt Louis, Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denise","family":"Charron-Prochownik","sequence":"additional","affiliation":[{"name":"University of Pittsburgh, Pittsburgh, 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