Type 2 diabetes mellitus is a disease of adults and has been considered rar
e in the pediatric population. Over the last decade, however, there has bee
n a disturbing trend of increasing cases of type 2 diabetes in children, pa
rticularly adolescents, and with a greater proportion of minority children
being affected. This article reviews the clinical characteristics of youth
with type 2 diabetes, presents the risk factors associated with insulin res
istance and type 2 diabetes, discusses treatment options, and projects futu
re directions in research. The ultimate goal is to raise awareness of this
challenging entity among healthcare professionals.