Atherosclerosis begins in youth, and the extent of coronary lesions in adolescents is associated with individual and combined levels of risk factors including lipids, smoking, blood pressure, obesity, and—the focus of this editorial—hyperglycemia.1,2 These risk factors tend to track from childhood to adulthood; children with elevated risk factor levels tend to retain them as they grow, thus becoming adults at higher risk of cardiovascular disease.
Gillman MW. Predicting Prediabetes and DiabetesCan We Do It? Is It Worth It?. Arch Pediatr Adolesc Med. 2010;164(2):198-199. doi:10.1001/archpediatrics.2009.270