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Whites Have Highest Risk of Diabetes in U.S

Researchers have identified that non-Hispanic white youth have the highest rate of diabetes of all racial/ethnic groups for children in the U.S., with type 1 being the predominant kind of diabetes among youth.

Dana Dabelea, M.D., Ph.D., of the University of Colorado Health Sciences Center, Denver, presented the findings of the study at a JAMA media briefing in New York.

Estimates of the incidence of type 1 diabetes mellitus (DM) show an increase in incidence worldwide during the past two decades, according to background information in the article. Type 2 DM has traditionally been viewed as a disorder of adults, most likely persons who are middle-age or elderly.

But as the prevalence of obesity has increased in recent decades, some studies have reported an increasing proportion of youth with type 2 DM, especially among racial/ethnic minority populations. However, data are limited regarding the types and incidence of DM among U.S. youth of different racial/ethnic backgrounds.

Dr. Dabelea and colleagues with the SEARCH for Diabetes in Youth Study Group identified the cases of DM among individuals younger than 20 years in the U.S. to estimate the population incidence of type 1 and 2 DM overall and by age and race/ethnicity. The study included 2,435 multi-ethnic youth with newly diagnosed DM in 2002 and 2003, from 10 locations in the U.S.

Overall, the incidence rate (per 100,000 person-years [the number of individuals in the study times the number of years of follow-up per person]) of DM was 24.3. The incidence rate was highest among 10- to 14-year-old youth (33.9), and slightly higher in females vs. males.

Overall, the highest incidence rates of DM were observed among non-Hispanic white (26.1), African American (25.4), and American Indian youth (25.0), with lower rates among Hispanic and Asian-Pacific Islander youth.

For children age 0 to 4 years and 5 to 9 years, most D
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