Literature DB >> 19496965

Type 2 diabetes mellitus in children and adolescents is still a rare disease in Germany: a population-based assessment of the prevalence of type 2 diabetes and MODY in patients aged 0-20 years.

Andreas Neu1, Lutz Feldhahn, Stefan Ehehalt, Regine Hub, Michael B Ranke.   

Abstract

OBJECTIVE: To assess the prevalence of type 2 diabetes mellitus (T2DM) and maturity onset diabetes of the young (MODY) in children and adolescents aged 0-20 yr in Baden-Württemberg (BW), Germany, and to compare our results with those from other European countries.
METHODS: Our study involved every children's hospital (n = 31), each diabetologist in private practice (n = 122), and every internal medicine unit (n = 164) in BW. A written questionnaire and a telephone survey were used to identify children with T2DM and MODY who had been examined at any of these institutions between 2004 and 2005. Population data were drawn from the national census of 1987 and the subsequent annual updates.
RESULTS: The prevalence of T2DM for the age range from 0 to 20 yr is 2.30/100 000, whereas the prevalence of MODY in the same age range is 2.39/100 000. The median age of patients with T2DM was 15.8 yr, and 13.9 yr for MODY patients. The majority of patients with either T2DM or MODY were treated in children's hospitals and by consultant diabetologists. A molecular genetic analysis was done to substantiate the clinical diagnosis in less than half of the recruits (14.3% of T2DM and 44.8% of MODY patients).
CONCLUSIONS: The prevalence of T2DM and MODY is considerably lower than the prevalence of type 1 diabetes. Type 2 diabetes thus continues to be a rare disease in children and adolescents in Germany, as is also the case in other European countries.

Entities:  

Mesh:

Year:  2009        PMID: 19496965     DOI: 10.1111/j.1399-5448.2009.00528.x

Source DB:  PubMed          Journal:  Pediatr Diabetes        ISSN: 1399-543X            Impact factor:   4.866


  15 in total

1.  The Impact of Biomarker Screening and Cascade Genetic Testing on the Cost-Effectiveness of MODY Genetic Testing.

Authors:  Matthew S GoodSmith; M Reza Skandari; Elbert S Huang; Rochelle N Naylor
Journal:  Diabetes Care       Date:  2019-09-26       Impact factor: 19.112

2.  Clinical utility gene card for: Maturity-onset diabetes of the young.

Authors:  Kevin Colclough; Cécile Saint-Martin; José Timsit; Sian Ellard; Christine Bellanné-Chantelot
Journal:  Eur J Hum Genet       Date:  2014-02-12       Impact factor: 4.246

Review 3.  When is it MODY? Challenges in the Interpretation of Sequence Variants in MODY Genes.

Authors:  Sara Althari; Anna L Gloyn
Journal:  Rev Diabet Stud       Date:  2016-02-10

4.  Diabetes screening in overweight and obese children and adolescents: choosing the right test.

Authors:  Stefan Ehehalt; Susanna Wiegand; Antje Körner; Roland Schweizer; Klaus-Peter Liesenkötter; Carl-Joachim Partsch; Gunnar Blumenstock; Ulrike Spielau; Christian Denzer; Michael B Ranke; Andreas Neu; Gerhard Binder; Martin Wabitsch; Wieland Kiess; Thomas Reinehr
Journal:  Eur J Pediatr       Date:  2016-11-25       Impact factor: 3.183

Review 5.  Global trends in the incidence and prevalence of type 2 diabetes in children and adolescents: a systematic review and evaluation of methodological approaches.

Authors:  S Fazeli Farsani; M P van der Aa; M M J van der Vorst; C A J Knibbe; A de Boer
Journal:  Diabetologia       Date:  2013-05-16       Impact factor: 10.122

6.  Prevalence, characteristics and clinical diagnosis of maturity onset diabetes of the young due to mutations in HNF1A, HNF4A, and glucokinase: results from the SEARCH for Diabetes in Youth.

Authors:  Catherine Pihoker; Lisa K Gilliam; Sian Ellard; Dana Dabelea; Cralen Davis; Lawrence M Dolan; Carla J Greenbaum; Giuseppina Imperatore; Jean M Lawrence; Santica M Marcovina; Elizabeth Mayer-Davis; Beatriz L Rodriguez; Andrea K Steck; Desmond E Williams; Andrew T Hattersley
Journal:  J Clin Endocrinol Metab       Date:  2013-06-14       Impact factor: 5.958

Review 7.  Understanding childhood diabetes mellitus: new pathophysiological aspects.

Authors:  Juergen Grulich-Henn; Daniela Klose
Journal:  J Inherit Metab Dis       Date:  2017-12-15       Impact factor: 4.982

8.  Systematic Population Screening, Using Biomarkers and Genetic Testing, Identifies 2.5% of the U.K. Pediatric Diabetes Population With Monogenic Diabetes.

Authors:  Maggie Shepherd; Beverley Shields; Suzanne Hammersley; Michelle Hudson; Timothy J McDonald; Kevin Colclough; Richard A Oram; Bridget Knight; Christopher Hyde; Julian Cox; Katherine Mallam; Christopher Moudiotis; Rebecca Smith; Barbara Fraser; Simon Robertson; Stephen Greene; Sian Ellard; Ewan R Pearson; Andrew T Hattersley
Journal:  Diabetes Care       Date:  2016-06-06       Impact factor: 19.112

9.  Prevalence of monogenic diabetes amongst Polish children after a nationwide genetic screening campaign.

Authors:  W Fendler; M Borowiec; A Baranowska-Jazwiecka; A Szadkowska; E Skala-Zamorowska; G Deja; P Jarosz-Chobot; I Techmanska; J Bautembach-Minkowska; M Mysliwiec; A Zmyslowska; I Pietrzak; M T Malecki; W Mlynarski
Journal:  Diabetologia       Date:  2012-07-11       Impact factor: 10.122

Review 10.  Young-onset type 2 diabetes mellitus - implications for morbidity and mortality.

Authors:  Dianna J Magliano; Julian W Sacre; Jessica L Harding; Edward W Gregg; Paul Z Zimmet; Jonathan E Shaw
Journal:  Nat Rev Endocrinol       Date:  2020-03-20       Impact factor: 43.330

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