Posts Tagged ‘ type 1 diabetes ’

Diabetes May Be on the Rise Among Youth

Tuesday, May 6th, 2014

Both type 1 and type 2 diabetes may be on the rise among young people, a new study published in the Journal of the American Medical Association suggests.  Reuters has more:

Though researchers can’t say why exactly these rates continue to go up, it is important to monitor them, Dr. Dana Dabelea told Reuters Health.

Dabelea worked on the study at the Colorado School of Public Health in Aurora.

“This should draw attention to the seriousness of pediatric diabetes especially for the clinical and public health community,” she said. “At the individual level, every new case of diabetes at a young age means a lifelong burden of difficult, expensive treatment and a high risk of complications.”

Dabelea and her team analyzed data from health plans in California, Colorado, Ohio, South Carolina and Washington state, as well as from American Indian reservations in the Southwest, including more than 3 million patients under age 19.

In 2001, about 14.8 kids in every 10,000 were diagnosed with type 1 diabetes, formerly known as “juvenile diabetes,” in which the body’s own immune system destroys insulin-producing cells in the pancreas. Insulin is needed to remove sugar from the bloodstream so it can be used for energy.

By 2009, that rate had risen to 19.3 kids in every 10,000, a 21 percent increase, the authors found. Type 1 diabetes was most common among white children.

In type 2 diabetes, which is much more common but not usually diagnosed until adulthood, the body still makes insulin but can’t use it effectively. For the current study, the authors looked at type 2 diabetes among kids ages 10 and up.

Among that group in 2001, 3.4 kids in every 10,000 were diagnosed with type 2 diabetes, which increased to 4.6 per 10,000 in 2009, a 31 percent increase. This type of diabetes was most common among American Indian and black youth.

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How to Eat Healthy: Raising Nutrition-Smart Kids
How to Eat Healthy: Raising Nutrition-Smart Kids
How to Eat Healthy: Raising Nutrition-Smart Kids

Image: Child with insulin shot, via Shutterstock

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Study: Insulin Pumps Better Than Injections for Kids with Type 1 Diabetes

Tuesday, August 20th, 2013

A new study of children with type 1 diabetes suggests that insulin pumps are better at controlling the disease than insulin injections. Kids who use an insulin pump may also experience fewer complications, the researchers said. Here’s more from HealthDay News:

[The researchers] compared outcomes for 345 children, aged 2 to 19, who were using insulin pumps to control their type 1 diabetes to a similar number of children who were receiving insulin injections.

The children were followed for a median of three and a half years.

During the follow-up period, episodes of dangerously low blood sugar levels (severe hypoglycemia) in the insulin-pump group fell by about half, the researchers said. In contrast, episodes of severe hypoglycemia in the insulin-injection group rose, from about seven events per 100 patients per year to more than 10 events by the end of the study.

The researchers also looked at rates of hospital admission for diabetic ketoacidosis, a shortage of insulin that causes the body to switch to burning fats and to produce acidic ketone molecules that cause complications and symptoms. This a frequent complication in children with type 1 diabetes.

Admissions for diabetic ketoacidosis were lower in the insulin-pump group than in the insulin-injection group — 2.3 and 4.7 per 100 patients per year, respectively, according to the study.

Of the 345 patients with insulin pumps, 38 stopped using them at some point during the study: six in the first year, seven in the second year, 10 in the third year and the remainder after three years.

The study authors said some children stop because they tire of the extra attention needed to manage the pump, or are concerned about the physical sight of the pump. Other children sometimes take a temporary “pump holiday” and then start using a pump again.

Image: Insulin pump, via Shutterstock

 

 

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