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Defeat Diabetes
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Millions of Teens Have Precursor for Diabetes

Posted: Friday, July 28, 2006

Prevalence of diabetes and impaired fasting glucose levels among US adolescents.

A University of Washington study estimates that almost 2.8 million adolescents living in the United States have impaired fasting glucose levels. In addition, another 39,000 teens are reported to have type 2 diabetes, a condition which typically strikes at an older age. According to the investigators, the overall prevalence of diabetes among study subjects between the ages of 12 and 19 was 0.5%, and 11% of the subjects demonstrated impaired fasting glucose levels. The study findings have important implications; there is a high conversion rate from impaired fasting glucose to type 2 diabetes and an increased risk of cardiovascular disease in those with the condition.

The study was designed to determine the current prevalence of self-reported diabetes and impaired fasting glucose levels among US adolescents.

A sample of 4370 adolescents (aged 12-19 years) with self-reported diabetes and a subsample of 1496 adolescents without self-reported diabetes who had fasted for at least 8 hours. Subjects who reported having diabetes and using insulin were further categorized as having type 1 diabetes, those reporting having diabetes and not using insulin as having type 2 diabetes, and those with a fasting plasma glucose level greater than or equal to 5.6 mmol/L (100 mg/dL) as having impaired fasting glucose levels.
The main outcome measure was the prevalence of self-reported diabetes, type 1 and type 2 diabetes, and impaired fasting glucose levels among US adolescents.

In the full sample, 0.5% (95% confidence interval [CI], 0.24%-0.76%) of adolescents reported having diabetes. Of those reporting diabetes, roughly 71% (95% CI, 56%-86%) were categorized as having type 1 and 29% (95% CI, 14%-44%) as having type 2 diabetes. In the subsample, roughly 11% (95% CI, 8%-14%) had impaired fasting glucose levels. Using population-based sample weights, these proportions were equivalent to 39 005 US adolescents with type 2 diabetes and 2 769 736 with impaired fasting glucose levels.

From the results it was concluded that, the prevalence of type 2 diabetes and impaired fasting glucose levels is substantial among US adolescents. These estimates have important implications for public health because of the high rate of conversion from impaired fasting glucose level to type 2 diabetes in adults and the increased risk of cardiovascular disease in individuals with type 2 diabetes.

 

 

Source: Diabetes In Control: Archives of Pediatrics and Adolescent Medicine. Vol. 160 No. 5, May 2006

 
 
 
 
 
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