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Ann Pediatr Endocrinol Metab > Volume 13(1); 2008 > Article
The Changes of Incidence of Childhood Diabetes in Jeollabuk-do for 26 Years.
Min Sun Kim, Ka Young Yu, Jong In Na, Jong Duk Kim, Oh Kyung Lee, Dae Yeol Lee
1Department of Pediatrics, School of Medicine, Chonbuk National University, Jeonju, Korea. leedy@chonbuk.ac.kr
2Department of Pediatrics, School of Medicine, Wonkwang University, Iksan, Korea.
3Department of Pediatrics, Presbyterian Medical Center Hospital, Jeonju, Korea
The purpose of this study was to know the changes and types of diabetes mellitus (DM) in children who lived in Jeollabuk-do for last 26 years. METHODS: We subdivided 26 years (January 1981-December 2006) as group 1 (January 1981-December 1993) and group 2 (January 1994-December 2006). Patients under 15 years old who had been newly diagnosed with DM in these periods in general hospitals situated in Jeollabuk-do were reviewed retrospectively about clinical conditions at the onset.
141 patients were enrolled; group 1 was 43 (30.5%) and group 2, 98 (69.5%). Patients number in same period increased over twice. For types of diabetes, group 1 was all type 1 diabetes and group 2 was 75.5% in type 1 diabetes, 21.4% type 2 diabetes and 3.1% clinically suspected maturity onset diabetes of the youth (cMODY). The incidence of diabetes was 0.12 patients per 100,000 under 15 years old in 1980 and increased upto 4.73 ones in 2005. The diagnosed mean age increased from 8.9 years (group 1) to 10.3 years (group 2), but type 1 diabetes had no significant difference. Diabetes occurred in girls more than boys. Two-thirds of all patients were diagnosed in the winter (December-February) and the spring (March-May).
The incidence of childhood diabetes in Jeollabuk-do increased rapidly and type 2 diabetes was remarkable. We think these aspect would be not only the problem in this province but also the national one. So, we suggest that the practicing of the dynamic survey nationwide is important for the treatment and the management of childhood diabetes.
Keywords: Diabetes Mellitus;Child;Incidence
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