Clinical profile of diabetes in the young seen between 1992 and 2009 at a specialist diabetes centre in south India

Amutha, A and Datta, M and Unnikrishnan, R and Anjana, R M and Rema, M and Venkat Narayan, K M and Mohan, V (2011) Clinical profile of diabetes in the young seen between 1992 and 2009 at a specialist diabetes centre in south India. Primary Care Diabetes, 5 (4). p. 223. ISSN 17519918

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Abstract

Aim: To describe the trends and clinical profile of young diabetic patients (YD) attending a tertiary diabetes centre in south India. Methods: We reviewed medical records of 2630 YD patients (age at onset ≤25 years) registered between 1992 and 2009. Patients were classified as type 1 diabetes (T1DM), type 2 diabetes (T2DM) gestational diabetes mellitus (GDM) and other types. Retinopathy was assessed initially by direct and indirect ophthalmoscopy and later by retinal photography, nephropathy if urine protein excretion was >500 mg/day, neuropathy if vibration perception threshold on biothesiometry was ≥20 V. Results: The percentage of YD patients rose from 0.55% in 1992 to 2.5% in 2009 (trend chi square, 15.1, p < 0.001). Of the 2630 YD subjects registered, 1135 (43.2%) had T1DM, 1262 (48.0%) had T2DM, 118 (4.5%) had GDM and 115 (4.4%) other types. T1DM patients were younger, had lower body mass index, waist circumference, systolic and diastolic blood pressures, and less family history of diabetes compared to T2DM (p < 0.001 for each). Retinopathy was seen in 71.9% and 77.3% nephropathy in 22.1% and 12.1% and neuropathy in 34.5% and 21.4% of T2DM and T1DM respectively in those with ≥15 years duration of diabetes. Conclusions: The percentage of YD in south India is increasing, predominantly due to early onset T2DM.

Item Type:Article
Official URL/DOI:http://dx.doi.org/10.1016/j.pcd.2011.04.003
Uncontrolled Keywords:Childhood diabetes; Type 1 diabetes; Early onset type 2 diabetes; Asian Indians; South Asians
Subjects:Diabetes Epidemiology
Diabetes
Divisions:Department of Epidemiology
Department of Diabetology
ID Code:745
Deposited By:surendar radha
Deposited On:16 Oct 2013 10:57
Last Modified:16 Oct 2013 10:57

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