Terri Lipman, PhD, CRNP, FAAN, Miriam Stirl endowed term professor of nutrition, professor of nursing of children, and assistant dean for community engagement, University of Pennsylvania School of Nursing, Philadelphia, presented on the increasing incidence of type 1 diabetes in children at the American Diabetes Associations 74th Scientific Sessions in June in San Francisco.
Her presentation centered on her ongoing analysis of the pediatric population in Philadelphia, and showed that the rate of type 1 diabetes has increased greatly in some populations and age groups since the first cohort from 1985 to 1989, according to a news release. That includes a near-doubling of the disease in the 0-to-4 age group.
Lipman and colleagues analyzed inpatient and outpatient charts from subjects at Philadelphia hospitals who met World Health Organization registry criteria: those with newly diagnosed diabetes, ages 0 to 14 years, residing in Philadelphia at the time of diagnosis and diagnosed between Jan. 1, 2005, and Dec. 31, 2009.
Research on the risk factors associated with the significant rise, particularly in young children, must continue, Lipman said in an article on the Penn State Science in Action website. And, most importantly, [increasing awareness among] primary care providers and parents of the rising incidence of type 1 diabetes in young children is crucial.
The increase in type 1 diabetes was demonstrated in all racial/ethnic groups. The greatest overall racial/ethnic increase was shown in white children with a rate of type 1 diabetes that has increased by 69% since 1985. There was a 33% increase in the rates for blacks and a 10% increase in the rate for Hispanics over the 25 years of study, Lipman said The incidence of type 1 diabetes has increased in all age groups, she said in the article.
Most notably, the incidence of type 1 diabetes has more than doubled in the 0-to 4-year age group over the past 20 years and the incidence continues to rise.
Lipmans research stems from issues arising from her clinical practice. Her major areas of research are the epidemiology of diabetes in children, pediatric growth disorders and racial disparities in children with endocrine disorders. Since 1990, she has maintained the Philadelphia Pediatric Diabetes Registry, a participating center in the World Health Organization Multinational Project for Childhood Diabetes program, a consortium of 150 centers in 70 countries. It is the only active U.S. registry.