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Trends in prevalence of type 1 and type 2 diabetes in children and adolescents in the US, 2001-2017

JAMA Aug 28, 2021

Lawrence JM, Divers J, Isom S, et al. - Between 2001 and 2017, the estimated prevalence of diabetes among children and adolescents increased in 6 areas of the United States (4 geographic areas, 1 health plan, and select American Indian reservations), for both type 1 and type 2 diabetes.

  • It was a cross-sectional observational study.

  • In 2001, 4,958 out of 3.35 million youths 19 years or younger had type 1 diabetes, 6,672 out of 3.46 million had type 1 diabetes in 2009, and 7,759 out of 3.61 million had type 1 diabetes in 2017.

  • In 2001, 588 of 1.73 million people aged 10 to 19 had type 2 diabetes, 814 of 1.85 million had type 2 diabetes in 2009, and 1230 of 1.85 million had type 2 diabetes in 2017.

  • The estimated type 1 diabetes prevalence per 1,000 youths aged 19 and under increased significantly from 1.48 in 2001 to 1.93 in 2009 to 2.15 in 2017, representing an absolute increase of 0.67 per 1,000 youths and a relative increase of 45.1% over 16 years.

  • Non-Hispanic White and non-Hispanic Black youths experienced the greatest absolute increases.

  • The estimated type 2 diabetes prevalence per 1,000 youths aged 10 to 19 years increased significantly from 0.34 in 2001 to 0.46 in 2009 to 0.67 in 2017, representing an absolute increase of 0.32 per 1,000 youths and a 95.3% relative increase over 16 years.

  • Non-Hispanic Black and Hispanic youths experienced the greatest absolute increases.

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