Type 2 and other forms of diabetes in 0–30 year olds: a hospital based study in Leeds, UK

Background and Aims: Following recent reports of increased numbers of adolescents being diagnosed with the adult or type 2 form of diabetes we aimed to describe the prevalence of both type 2 and other forms of diabetes in an urban population of children and young people in northern England. Methods:...

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Bibliographic Details
Published in:Archives of disease in childhood 2003-08, Vol.88 (8), p.676-679
Main Authors: Feltbower, R G, McKinney, P A, Campbell, F M, Stephenson, C R, Bodansky, H J
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age
Age Distribution
Age Groups
Asia, Southeastern - ethnology
Asian people
Asians
Binomial distribution
Biological and medical sciences
Body Composition
Care and treatment
Causes of
Censuses
Child
Child, Preschool
Clinics
Complications and side effects
Cross-Sectional Studies
Diabetes
Diabetes in children
Diabetes Mellitus, Type 1 - epidemiology
Diabetes Mellitus, Type 1 - ethnology
Diabetes Mellitus, Type 2 - epidemiology
Diabetes Mellitus, Type 2 - ethnology
Diabetes. Impaired glucose tolerance
Diagnosis
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
England - epidemiology
Ethnic Groups
Ethnicity
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Exercise
Female
Health aspects
Hospitals
Humans
Infant
Infant, Newborn
Juvenile diabetes
Male
Medical sciences
Mortality
Obesity
Original
Patients
Population
Poverty
Prevalence
Records (Forms)
Research Assistants
Resource Allocation
Risk Factors
Scientific Concepts
Sex Distribution
Social Class
Social classes
Socioeconomic Factors
Socioeconomic Influences
Socioeconomic Status
Teaching hospitals
Teaching Methods
Teenagers
type 2 diabetes mellitus
Urban Health
Young adults
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Description
Summary:Background and Aims: Following recent reports of increased numbers of adolescents being diagnosed with the adult or type 2 form of diabetes we aimed to describe the prevalence of both type 2 and other forms of diabetes in an urban population of children and young people in northern England. Methods: A hospital based cross sectional study was performed in patients aged ≤30 years attending diabetic clinics in Leeds during the year 2000. Results: A total of 677 subjects were identified, of whom 621 (92%) and 37 (5%) had type 1 and type 2 diabetes respectively. Four patients had confirmed maturity onset diabetes of the young, while the cause was uncertain for four. Median age of all patients was 22 years, with 396 (58%) aged 20–30; 32/37 patients with type 2 diabetes were aged 20–30. The prevalence of type 2 diabetes was 0.13 per 1000 overall, compared to 2.2 per 1000 for patients with type 1 diabetes. Of all type 2 diabetes patients, 24% were south Asian compared to 5% of the background population; 87% were categorised into the two least affluent tertiles of the Townsend score. This link with deprivation was not explained by the proportion of Asian patients across tertiles (approximately 25%). Conclusions: This study shows extremely low prevalence of type 2 diabetes in 10–19 year olds, but will provide a baseline for future comparisons. Overall, type 2 diabetes is seen more commonly in south Asians, and an association with deprivation is suggested.
ISSN:0003-9888
1468-2044
DOI:10.1136/adc.88.8.676