Socioeconomic status and risk factors for complications in young people with type 1 or type 2 diabetes: a cross-sectional study.


Journal

BMJ open diabetes research & care
ISSN: 2052-4897
Titre abrégé: BMJ Open Diabetes Res Care
Pays: England
ID NLM: 101641391

Informations de publication

Date de publication:
12 2021
Historique:
received: 16 07 2021
accepted: 26 11 2021
entrez: 31 12 2021
pubmed: 1 1 2022
medline: 24 3 2022
Statut: ppublish

Résumé

Young people with type 2 diabetes (T2D) develop complications earlier than those with type 1 diabetes (T1D) of comparable duration, but it is unclear why. This apparent difference in phenotype could relate to relative inequality. Cross-sectional study of young people referred to secondary diabetes services in Auckland, Aotearoa-New Zealand (NZ): 731 with T1D and 1350 with T2D currently aged Young people with T2D were an average 3 years older than those with T1D but had a similar duration of diabetes. 71% of those with T2D were of Māori or Pasifika descent, compared with 24% with T1D (p<0.001). T1D cases were distributed evenly across NZDep categories. 78% of T2D cases were living in the lowest four NZDep categories (p<0.001). In both diabetes types, body mass index (BMI) increased progressively across the NZDep spectrum (p<0.002), as did mean glycated hemoglobin (HbA The apparent more aggressive phenotype of young-onset T2D is at least in part explicable by relative deprivation.

Identifiants

pubmed: 34969690
pii: 9/2/e002485
doi: 10.1136/bmjdrc-2021-002485
pmc: PMC8719138
pii:
doi:

Substances chimiques

Glycated Hemoglobin A 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Sasini Wijayaratna (S)

Auckland Diabetes Centre, Auckland District Health Board, Auckland, Aotearoa-New Zealand sasiniw@adhb.govt.nz.
Department of Medicine, The University of Auckland Faculty of Medical and Health Sciences, Auckland, Aotearoa-New Zealand.

Arier Lee (A)

Department of Population Health, The University of Auckland Faculty of Medical and Health Sciences, Auckland, Aotearoa-New Zealand.

Hyun Young Park (HY)

Department of Medicine, The University of Auckland Faculty of Medical and Health Sciences, Auckland, Aotearoa-New Zealand.

Emmanuel Jo (E)

Department of Medicine, The University of Auckland Faculty of Medical and Health Sciences, Auckland, Aotearoa-New Zealand.
Health Workforce Directorate, New Zealand Ministry of Health, Wellington, Aotearoa-New Zealand.

Fiona Wu (F)

Auckland Diabetes Centre, Auckland District Health Board, Auckland, Aotearoa-New Zealand.

Warwick Bagg (W)

Auckland Diabetes Centre, Auckland District Health Board, Auckland, Aotearoa-New Zealand.
Department of Medicine, The University of Auckland Faculty of Medical and Health Sciences, Auckland, Aotearoa-New Zealand.

Tim Cundy (T)

Auckland Diabetes Centre, Auckland District Health Board, Auckland, Aotearoa-New Zealand.
Department of Medicine, The University of Auckland Faculty of Medical and Health Sciences, Auckland, Aotearoa-New Zealand.

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