Incidence of Childhood Type 1 and Non-Type 1 Diabetes Mellitus in a Diverse Population: The Chicago Childhood Diabetes Registry, 1994 to 2003

Smith, Tracie L.; Drum, Melinda L.; Lipton, Rebecca B.

doi:10.1515/jpem.2007.20.10.1093

Cited by 35 publications

(35 citation statements)

References 21 publications

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“…In Cincinnati, Ohio, type 2 diabetes incidence increased 10-fold, from 1982 to 1994 (average annual change, 41.7%). 35 Annual incidence rates from 1994 to 2003 increased by 3.7% among white, 3.9% among black, and 9.6% among Hispanic children with insulin-treated, non–type 1 diabetes in Chicago 14 ; however, these case patients represent an unknown proportion of all case patients. Among aboriginal youth in Alberta, Canada, 12 a 14% average annual increase was reported in Chicago between 1995 and 2007 in youth younger than 20 years.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence of Type 1 and Type 2 Diabetes Among Children and Adolescents From 2001 to 2009

Dabelea

Mayer‐Davis

Saydah

et al. 2014

JAMA

1,251

1,000

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IMPORTANCE Despite concern about an “epidemic,” there are limited data on trends in prevalence of either type 1 or type 2 diabetes across US race and ethnic groups. OBJECTIVE To estimate changes in the prevalence of type 1 and type 2 diabetes in US youth, by sex, age, and race/ethnicity between 2001 and 2009. DESIGN, SETTING, AND PARTICIPANTS Case patients were ascertained in 4 geographic areas and 1 managed health care plan. The study population was determined by the 2001 and 2009 bridged-race intercensal population estimates for geographic sites and membership counts for the health plan. MAIN OUTCOMES AND MEASURES Prevalence (per 1000) of physician-diagnosed type 1 diabetes in youth aged 0 through 19 years and type 2 diabetes in youth aged 10 through 19 years. RESULTS In 2001, 4958 of 3.3 million youth were diagnosed with type 1 diabetes for a prevalence of 1.48 per 1000 (95% CI, 1.44–1.52). In 2009, 6666 of 3.4 million youth were diagnosed with type 1 diabetes for a prevalence of 1.93 per 1000 (95% CI, 1.88–1.97). In 2009, the highest prevalence of type 1 diabetes was 2.55 per 1000 among white youth (95% CI, 2.48–2.62) and the lowest was 0.35 per 1000 in American Indian youth (95% CI, 0.26–0.47) and type 1 diabetes increased between 2001 and 2009 in all sex, age, and race/ethnic subgroups except for those with the lowest prevalence (age 0–4 years and American Indians). Adjusted for completeness of ascertainment, there was a 21.1% (95% CI, 15.6%–27.0%) increase in type 1 diabetes over 8 years. In 2001, 588 of 1.7 million youth were diagnosed with type 2 diabetes for a prevalence of 0.34 per 1000 (95% CI, 0.31–0.37). In 2009, 819 of 1.8 million were diagnosed with type 2 diabetes for a prevalence of 0.46 per 1000 (95% CI, 0.43–0.49). In 2009, the prevalence of type 2 diabetes was 1.20 per 1000 among American Indian youth (95% CI, 0.96–1.51); 1.06 per 1000 among black youth (95% CI, 0.93–1.22); 0.79 per 1000 among Hispanic youth (95% CI, 0.70–0.88); and 0.17 per 1000 among white youth (95% CI, 0.15–0.20). Significant increases occurred between 2001 and 2009 in both sexes, all age-groups, and in white, Hispanic, and black youth, with no significant changes for Asian Pacific Islanders and American Indians. Adjusted for completeness of ascertainment, there was a 30.5% (95% CI, 17.3%–45.1%) overall increase in type 2 diabetes. CONCLUSIONS AND RELEVANCE Between 2001 and 2009 in 5 areas of the United States, the prevalence of both type 1 and type 2 diabetes among children and adolescents increased. Further studies are required to determine the causes of these increases.

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Section: Discussionmentioning

confidence: 99%

“…7,12,13 Similarly, type 2 diabetes incidence rates rose among non-Hispanic black (hereafter called black), Hispanic, and white children with insulin-treated, non–type 1 diabetes from 1994 to 2003. 14 …”

mentioning

confidence: 99%

Prevalence of Type 1 and Type 2 Diabetes Among Children and Adolescents From 2001 to 2009

Dabelea

Mayer‐Davis

Saydah

et al. 2014

JAMA

1,251

1,000

View full text Add to dashboard Cite

show abstract

“…using prescriptions for glucose-lowering treatment listed in a database as a proxy for finding cases of diabetes [41]) or medical chart reviews in hospitals or medical centres [29,[42][43][44][45].…”

Section: Study Population and Ethnicitiesmentioning

confidence: 99%

Global trends in the incidence and prevalence of type 2 diabetes in children and adolescents: a systematic review and evaluation of methodological approaches

et al. 2013

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Aims/hypothesis This study aimed to systematically review what has been reported on the incidence and prevalence of type 2 diabetes in children and adolescents, to scrutinise the methodological issues observed in the included studies and to prepare recommendations for future research and surveillances. Methods PubMed, the Cochrane Database of Systematic Reviews, Scopus, EMBASE and Web of Science were searched from inception to February 2013. Population-based studies on incidence and prevalence of type 2 diabetes in children and adolescents were summarised and methodologically evaluated. Owing to substantial methodological heterogeneity and considerable differences in study populations a quantitative meta-analysis was not performed. Results Among 145 potentially relevant studies, 37 population-based studies met the inclusion criteria. Variations in the incidence and prevalence rates of type 2 diabetes in children and adolescents were mainly related to age of the study population, calendar time, geographical regions and ethnicity, resulting in a range of 0-330 per 100,000 personyears for incidence rates, and 0-5,300 per 100,000 population for prevalence rates. Furthermore, a substantial variation in the methodological characteristics was observed for response rates (60-96%), ascertainment rates (53-99%), diagnostic tests and criteria used to diagnose type 2 diabetes. Conclusions/interpretation Worldwide incidence and prevalence of type 2 diabetes in children and adolescents vary substantially among countries, age categories and ethnic groups and this can be explained by variations in population characteristics and methodological dissimilarities between studies.

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“…From 1999 to 2010, the National Health and Nutrition Examination Survey only yielded 58 self-reported cases of diabetes among youth aged 12–19 years [4]. Before year 2000, limited data from North America existed on the incidence of type 1 and type 2 diabetes among individuals less than 20 years and existing data were from populations in limited geographic areas [5–7] or very selected populations (e.g., native populations) [8,9]. …”

Section: Introductionmentioning

confidence: 99%

Factors influencing time to case registration for youth with type 1 and type 2 diabetes: SEARCH for Diabetes in Youth Study

Crume

Hamman

Isom

et al. 2016

Annals of Epidemiology

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Purpose The development of a sustainable pediatric diabetes surveillance system for the United States requires a better understanding of issues related to case ascertainment. Methods Using the SEARCH for Diabetes in Youth registry, we examined whether time from diabetes diagnosis to case registration differed by diabetes type, patient demographics, and the type of provider reporting the case to the study. Plots for time from diagnosis to registration were developed, and differences by key variables were examined using the log-rank test. Results Compared with time to registration for type 1 cases, it took 2.6 (95% confidence interval [CI], 2.5–2.6) times longer to register 50% of type 2 diabetes cases, and 2.3 (95% CI, 2.0–2.5) times longer to register 90% of type 2 cases. For type 1 diabetes cases, a longer time to registration was associated with older age, minority race/ethnicity, and cases, where the referring provider was not an endocrinologist. For type 2 diabetes cases, older age, non-Hispanic white race/ethnicity, and cases reported by providers other than an endocrinologist took longer to identify and register. Conclusions These findings highlight the need for continued childhood diabetes surveillance to identify future trends and influences on changes in prevalence and incidence.

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Incidence of Childhood Type 1 and Non-Type 1 Diabetes Mellitus in a Diverse Population: The Chicago Childhood Diabetes Registry, 1994 to 2003

Cited by 35 publications

References 21 publications

Prevalence of Type 1 and Type 2 Diabetes Among Children and Adolescents From 2001 to 2009

Prevalence of Type 1 and Type 2 Diabetes Among Children and Adolescents From 2001 to 2009

Global trends in the incidence and prevalence of type 2 diabetes in children and adolescents: a systematic review and evaluation of methodological approaches

Factors influencing time to case registration for youth with type 1 and type 2 diabetes: SEARCH for Diabetes in Youth Study

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