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Double diabetes is a new variant which is a combination of
both type 1 and type 2 diabetes in children and adolescents. This variant is
becoming more prevalent because of epidemic obesity in children. Obesity among
people of different ethnicity and race is tripled since last decade. Although,
obesity is linked to diabetes type 2 because of insulin resistance which is due
to excess free fatty acids, high intracellular triglyceride and dysregulation
of adipokines secretion. Double diabetes is coexistence of insulin resistance
(type 2) and autoantibodies (type1). Person with type 1 diabetes who is obese
and develop type 2 diabetes will lead to increase morbidity and early
exhaustion of beta cells. We report a case of 25 year old male with this new
variant discussing diagnosis and management modalities.
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