Ethnic Differences in Diabetes Symptoms Among People Without Known Diabetes in New Zealand (original) (raw)
Related papers
Impairment of Glucose Tolerance Over 10 Years in Middle-Aged Normal Glucose Tolerant Indians
Diabetes Care, 2003
A lthough the number of children and youth with type 2 diabetes is increasing, a clear case definition that describes children with type 2 diabetes at presentation remains elusive. Most initial diagnoses are decided on the clinical picture at presentation (1). Characteristics and risk factors have been outlined in several review and clinical articles (2-4). The purpose of this study was to describe the characteristics of youth presenting for an initial visit to the outpatient clinic of a large tertiary children's care center and diagnosed with type 2 diabetes.
Clinical Profile of Diabetes Mellitus in Children and Adolescents under Eighteen Years of Age
Ibrahim Medical College Journal, 2009
A total number of 125 patients with diabetes mellitus (DM) under eighteen years of age were admitted in the Paediartic department of BIRDEM hospital between January 2001 to October 2002. Eighty-eight patients (71%) were newly detected. Female to male ratio was 3:1. Out of the total admission 38 (30.4%) patients had type 1 DM (group 1), 37 (29.6%) patients had fibrocalculous pancreatic FCPD diabetes (group II), 48 (38.4%) patient had malnutrition modulated diabetes mellitus MMDM (group III) and 2 (1.6%) patients had type 2. Mean age of onset was 9±3.9 yrs in group I and 13±2.3 yrs in group II and group III. All groups had very high glucose and HbA1c value at presentation. The mean fasting glucose (mmol/l) was 19±7.14, 22.39±9 and 19.54±7.9 in group I, group II and group III respectively. The Mean HbA1c (%) value in the three groups was 14.4±2.7, 16.72±2.26 and 15.27±3.05 respectively. FCPD patients had poorest glycaemic status. Acute complications were more common in type 1 patients. Twelve (31.5%) patients had diabetic ketoatin DKA and two (5%) patients had hypoglycaemia in group I. Chronic complications were present in all three groups. MMDM patients had highest rate of complications. which was present in 2.6%, 21.6% and 33.3% patients in group I, group II and group III respectively. The rate of microalbuminuria was 5.3%. 10.8% and 18.8% in the three groups respectively. The rate of neuropathy was 2.6%, 16.2% and 20.8% in the three groups respectively. Among the associated problems skin infection, pulmonary tuberculosis and bilateral parotid swelling were common. Malnutrition was present in 66%, 86% and 100% in group I, group II and group III respectively. Majority (50% in group I, 91.6% in group II and 100% in group III) of our patients came from poor socio-economic background.
Journal of paediatrics and child health, 2018
It is important to understand whether type 2 diabetes mellitus (T2DM) is increasing in childhood for health-care planning and clinical management. The aim of this study is to examine the incidence of T2DM in New Zealand children, aged <15 years from a paediatric diabetes centre, Auckland, New Zealand. Retrospective analysis of prospectively collected data from a population-based referral cohort from 1995 to 2015. Hundred and four children presented with T2DM over the 21-year period. The female:male ratio was 1.8:1, at mean (standard deviation) age 12.9 (1.9) years, body mass index standard deviation score +2.3 (0.5), blood sugar 15.3 (8.5) mmol/L, HbA1c 76 (28) mmol/mol. At diagnosis, 90% had acanthosis nigricans and 48% were symptomatic. In all, 33% were Maori, 46% Pacific Island, 15% Asian/Middle Eastern and 6% European. There was a progressive secular increase of 5% year on year in incidence. The overall annual incidence of T2DM <15 years of age was 1.5/100 000 (1.2-1.9) (9...
Overview of Diabetes in Children and Teens
American Journal of Health Education, 2009
STATISTICS-SCOPE OF THE DIABETES PROBLEM Diabetes is one of the most common diseases in school-aged children. According to the National Diabetes Fact Sheet, approximately 186,300 youth in the U.S. under age 20 years had diabetes in 2007. 1 This figure represents 0.2% of all people in this age group. based on data from 2002-2003, the SEARCH for Diabetes in Youth study reported that approximately 15,000 U.S. youth under 20 years of age are diagnosed annually with type 1 diabetes, and 3,700 are newly diagnosed with type 2 diabetes. 2 Type 2 diabetes is rare in children younger than 10 years of age, regardless of race or ethnicity. After 10 years of age, however, type 2 diabetes becomes increasingly common, especially in minority populations, representing 14.9% of newly diagnosed cases of diabetes in non-Hispanic whites, 46.1% in Hispanic youth, 57.8% in African Americans, 69.7 % in Asian/Pacific Islanders, and 86.2% in American Indian youth. 2 Results from the 2005-2006 National Health and Nutrition Examination Survey (NHANES), using measured heights and weights, indicate that an estimated 16% to 17% of children and adolescents ages 2-19 years had a body mass index (bMI) greater than or equal to the 95th percentile of the age-and sex-specific bMI-about double the number two decades ago. 3 Overweight and obesity in youth contribute to increas