Navigation Links
Type 1 diabetes in urban children skyrockets, increasing by 70 percent in children under age 5
Date:1/23/2013

Over the past two decades, the incidence of type 1 diabetes in very young children under age 5 has increased by 70 percent in the city of Philadelphia, according to research from a University of Pennsylvania School of Nursing researcher who currently maintains the only US registry of diabetes in children that has collected data continuously since 1985.

In a far-reaching study in the current issue of Diabetes Care, researchers led by nursing professor Terri H. Lipman, PhD, RN found that the overall incidence of Type 1 diabetes in children in Philadelphia has increased by 29 percent over the same time period, 1985 to 2004.

"The most rapid increase in type 1 diabetes -- in children diagnosed before age 5 -- requires immediate attention," reports Dr. Lipman. "These young children are at the highest risk for death because of often-delayed diagnosis. The rapidly rising risk of diabetes in black children ages 0-4 years is of particular concern given the marked racial disparities that have been identified in diabetes outcomes and treatment in this population."

The research draws on a unique data set from the Philadelphia Pediatric Diabetes Registry, which Dr. Lipman has maintained since 1985. The registry was a member of the World Health Organization's Diabetes Mondiale study, a consortium of 150 centers in 70 countries. It is the only such U.S. registry still active and includes data amassed from large populations in three racial groups (white, black, and Hispanic). In the 20 years of the Philadelphia Pediatric Diabetes Registry, 935 cases of type 1 diabetes have been identified in children.

"The incidence of type 1 diabetes in Philadelphia children has increased at an average yearly rate of 1.5 percent," said Dr. Lipman, who also holds an appointment at The Children's Hospital of Philadelphia. "However, the incidence had been relatively stable over the first 15 years and has risen most markedly since 2000. This upward trend adds to the evidence of an increasing incidence of diabetes in the United States and worldwide."

Racial and ethnic data demonstrated the incidence of type 1 diabetes in white children had historically been very stable, with approximately 13 children diagnosed per 100,000 annually. However, there was a 48 percent increase between 2000 and 2004. Similarly, Hispanic children had previously been very stable at 15.5 diagnosed children per 100,000 annually but had a 27 percent increase between 2000 and 2004.

"While there are a number of hypotheses related to the causes of the increases in type 1 diabetes, no risk factors have been confirmed" said Dr. Lipman. "It is critical to continue to investigate risk factors that may be associated with the increased incidence of type 1 diabetes overall, and the marked rise in the incidence in young children."

For the first time, researchers included cases of type 2 diabetes in the Philadelphia registry. The incidence of type 1 diabetes is 18 times higher than type 2 diabetes in white children, but only 1.6 times higher in black children, indicating a high incidence of type 2 diabetes in black children. Similar to other studies, the data from Dr. Lipman and her colleagues showed the incidence of type 2 diabetes was higher in females than males, highest in black youth, and lowest in non-Hispanic white youth.

"Type 1 diabetes continues to be the greatest risk for children in Philadelphia, three times greater than type 2 diabetes," emphasized Dr. Lipman. "Improving and continuing research and data collection will help clarify the origins and epidemiology of these alarming worldwide trends in pediatric diabetes."


'/>"/>

Contact: Joy McIntyre
joyme@nursing.upenn.edu
215-898-5074
University of Pennsylvania School of Nursing
Source:Eurekalert

Related medicine news :

1. US Drug Watchdog Now Urges Families Of Diabetics Who Used The Diabetes Drug Actos, Developed Bladder Cancer and Died To Call The Johnson Law Group-For A Legal Review
2. New technology shows diabetes
3. US Drug Watchdog Now Urges Families Mourning The Loss Of A Diabetic User Of The Diabetes Drug Called Actos Who Developed Bladder Cancer To Call The Johnson Law Group
4. Wayne State University researcher to evaluate success of text message diabetes intervention
5. Amputations among people with diabetes can be reduced by 50 percent
6. US Drug Watchdog Now Urges Loved Ones Of Diabetics Diagnosed with Bladder Cancer To Call The Johnson Law Group If The Loved One Also Used the Diabetes Drug Called Actos
7. US Drug Watchdog Now Urges Families Of Diabetics Diagnosed with Bladder Cancer To Call The Johnson Law Group If They Used the Diabetes Drug Called Actos
8. US Drug Watchdog Now Urges Family Members Mourning The Loss Of A Loved One Who Developed Bladder Cancer After Using The Diabetes Drug Actos To Call The Johnson Law Group
9. People with diabetes in Ontario getting fewer government-funded eye exams, new study finds
10. US Drug Watchdog Now Urges Any Diabetic Who Used the Diabetes Drug Actos and Now Have Been Diagnosed with Bladder Cancer to Call The Johnson Law Group-ASAP
11. For Texas Man, Bariatric Surgery Led to Diabetes-Free Life
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... , ... June 25, 2016 , ... ... policy issues and applications at AcademyHealth’s Annual Research Meeting June 26-28, 2016, at ... on several important health care topics including advance care planning, healthcare costs and ...
(Date:6/25/2016)... ... June 25, 2016 , ... First Choice Emergency Room ... Dr. Sesan Ogunleye, as the Medical Director of its new Mesquite-Samuell Farm facility. ... of our new Mesquite location,” said Dr. James M. Muzzarelli, Executive Medical Director of ...
(Date:6/25/2016)... ... 2016 , ... Conventional wisdom preaches the benefits of moderation, whether it’s a ... the bar too high can result in disappointment, perhaps even self-loathing. However, those who ... , Research from PsychTests.com reveals that behind the tendency to set ...
(Date:6/24/2016)... ... June 24, 2016 , ... Marcy was in a crisis. Her son James, eight, was out ... family verbally and physically. , “When something upset him, he couldn’t control his emotions,” remembers ... would throw rocks at my other children and say he was going to kill them. ...
(Date:6/24/2016)... ... June 24, 2016 , ... Comfort Keepers® of San Diego, CA ... the Road To Recovery® program to drive cancer patients to and from their cancer ... ensure the highest quality of life and ongoing independence. Getting to and from ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... Ill. , June 23, 2016  In a startling report ... are failing their residents by lacking a comprehensive, proven plan to ... a definitive ranking of how states are tackling the worst ... to only four states – Kentucky , ... Vermont . Of the 28 failing states, three ...
(Date:6/23/2016)... Research and Markets has announced the addition of ... Forecast to 2022" report to their offering. ... date financial data derived from varied research sources to present ... impact on the market during the next five years, including ... sub markets, regional and country level analysis. The report provides ...
(Date:6/23/2016)... 2016 Research and Markets has announced ... report to their offering. ... a favourable commercial environment for MedImmune to enter. The US ... will serve to drive considerable growth for effective anti-influenza medications. ... cap sales considerably, but development is still in its infancy. ...
Breaking Medicine Technology: