Nearly One in Five American Teens Has Prediabetes or Diabetes

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Nearly One in Five American Teens Has Prediabetes or Diabetes


Nearly one in five American teenagers has an abnormal glucose level, according to new government data.
The findings were published July 19, 2016 in a research letter in the Journal of the American Medical Association by Andy Menke, PhD, an epidemiologist with Social & Scientific Systems (under contract to the US National Institutes of Health) and colleagues.
Using both interview and examination results from 2606 adolescent participants aged 12 to 19 in the 2005–2014 National Health and Nutrition Examination Survey (NHANES), investigators found a nearly 1% prevalence of diabetes – more than a quarter undiagnosed – and nearly 18% prevalence of prediabetes.
NHANES did not distinguish between type 1 and type 2 diabetes.
Both prediabetes and undiagnosed diabetes were more common in male, non-Hispanic black, and Hispanic teens compared with females and non-Hispanic whites.
The prevalence of prediabetes, 17.7%, was “higher than we anticipated,” Dr Menke said.
Prediabetes was more common in males than females (22.0% vs 13.2%).
Compared with white adolescents, in whom the percentages with undiagnosed diabetes was 4.6% and prediabetes was 15.1%, higher rates were seen among black participants (49.9% undiagnosed diabetes and 21.0% prediabetes, respectively) and Hispanics (39.5% and 22.9%).
Neither the prevalence of diabetes nor prediabetes changed over time.
According to Dr Menke, “a previous study found 87% of teens with diagnosed diabetes had type 1 diabetes, and this is likely in the ballpark of the percent with type 1 diabetes in our study.”

JAMA. 2016;316(3):344-345. Extract

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