PMID- 23887044 OWN - NLM STAT- MEDLINE DCOM- 20131126 LR - 20220408 IS - 1476-6256 (Electronic) IS - 0002-9262 (Print) IS - 0002-9262 (Linking) VI - 178 IP - 7 DP - 2013 Oct 1 TI - Prevalence of diagnosed and undiagnosed type 2 diabetes mellitus among US adolescents: results from the continuous NHANES, 1999-2010. PG - 1106-13 LID - 10.1093/aje/kwt088 [doi] AB - Although prevalence and incidence of type 2 diabetes mellitus (T2DM) are reportedly increasing among adolescents, national data are lacking, particularly in regard to undiagnosed T2DM. To estimate the prevalence of diagnosed and undiagnosed T2DM among US adolescents, we analyzed a nationally representative cross-section of 11,888 adolescents aged 12-19 years who received a diabetes interview in the Continuous National Health and Nutrition Examination Survey during 1999-2010. Among them, a random subsample of 4,661 adolescents also had fasting blood samples collected. Persons who reported a previous diabetes diagnosis and were either taking no medication or taking an oral hypoglycemic agent (with or without insulin) were classified as having T2DM; persons who reported using insulin alone were classified as having type 1 diabetes. Undiagnosed diabetes was defined as a fasting plasma glucose concentration of >/=126 mg/dL and was assumed to be type 2. In the fasting subsample, 31 diabetes cases (types 1 and 2) were identified, representing a prevalence of 0.84% (weighted 95% confidence interval (CI): 0.51, 1.40) (276,638 cases; 95% CI: 134,255, 419,020). Estimates of the prevalences of type 1 and type 2 diabetes were 0.48% (95% CI: 0.23, 1.02) and 0.36% (95% CI: 0.20, 0.67), respectively, indicating that T2DM accounted for 43% of all cases. Further, undiagnosed T2DM prevalence was 0.12% (95% CI: 0.05, 0.31), representing 34% of T2DM cases (40,611 cases; 95% CI: 2,850, 78,373). T2DM accounts for approximately half of adolescent diabetes in the United States, and one-third of these cases are undiagnosed. FAU - Demmer, Ryan T AU - Demmer RT FAU - Zuk, Aleksandra M AU - Zuk AM FAU - Rosenbaum, Michael AU - Rosenbaum M FAU - Desvarieux, Moise AU - Desvarieux M LA - eng GR - DK 63608/DK/NIDDK NIH HHS/United States GR - R00 DE-018739/DE/NIDCR NIH HHS/United States GR - R01 DE013094/DE/NIDCR NIH HHS/United States GR - R00 DE018739/DE/NIDCR NIH HHS/United States GR - R01 DE-13094/DE/NIDCR NIH HHS/United States GR - P30 DK063608/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20130725 PL - United States TA - Am J Epidemiol JT - American journal of epidemiology JID - 7910653 RN - 0 (Blood Glucose) SB - IM CIN - Am J Epidemiol. 2014 Feb 1;179(3):396-7. PMID: 24243743 CIN - Am J Epidemiol. 2014 Feb 1;179(3):395-6. PMID: 24243744 CIN - Am J Epidemiol. 2014 Feb 1;179(3):397-9. PMID: 24588008 MH - Adolescent MH - Adult MH - Blood Glucose MH - Child MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 1/epidemiology MH - Diabetes Mellitus, Type 2/*diagnosis/*epidemiology/ethnology MH - Female MH - Humans MH - Incidence MH - Male MH - Nutrition Surveys MH - Prevalence MH - Sex Distribution MH - Socioeconomic Factors MH - United States/epidemiology PMC - PMC3783093 OTO - NOTNLM OT - adolescents OT - diabetes mellitus OT - etiology OT - prevalence OT - undiagnosed diabetes EDAT- 2013/07/28 06:00 MHDA- 2013/12/16 06:00 PMCR- 2014/10/01 CRDT- 2013/07/27 06:00 PHST- 2013/07/27 06:00 [entrez] PHST- 2013/07/28 06:00 [pubmed] PHST- 2013/12/16 06:00 [medline] PHST- 2014/10/01 00:00 [pmc-release] AID - kwt088 [pii] AID - 10.1093/aje/kwt088 [doi] PST - ppublish SO - Am J Epidemiol. 2013 Oct 1;178(7):1106-13. doi: 10.1093/aje/kwt088. Epub 2013 Jul 25.