Journal article
Type 2 diabetes in children and adolescents across Australia and New Zealand: A 6‐year audit from The Australasian Diabetes Data Network (ADDN)
Pediatric Diabetes, Vol.22(3), pp.380-387
2021
Abstract
Objectives:
To assess the clinical and demographic characteristics of children and adolescents across Australia and New Zealand (NZ) with type 2 diabetes.
Methods:
We performed a descriptive audit of data prospectively reported to the Australasian Diabetes Data Network (ADDN) registry. Data were collected from six tertiary pediatric diabetes centers across Australia (New South Wales, Queensland, South Australia, Western Australia, and Victoria) and NZ (Auckland). Children and adolescents diagnosed with type 2 diabetes aged ≤ 18 years with data reported to ADDN between 2012 and 2017 were included. Age, sex, ethnicity, HbA1c, blood pressure, BMI, waist circumference and lipid profile at first visit were assessed.
Results:
There were 269 cases of type 2 diabetes in youth reported to ADDN between 2012 and 2017. The most common ethnicities were Indigenous Australian in 56/243 (23%) and NZ Maori or Pacifica in 47 (19%). Median age at diagnosis was 13.7 years and 94% of participants were overweight or obese. Indigenous Australian and Maori/Pacifica children were younger at diagnosis compared with nonindigenous children: median 13.3 years (indigenous Australian); 13.1 years (Maori/Pacifica); 14.1 years (nonindigenous), p = 0.005. HbA1c was higher in indigenous Australian (9.4%) and Maori/Pacifica youth (7.8%) compared with nonindigenous (6.7%) p < 0.001. BMI‐SDS was higher in Maori/Pacifica youth (2.3) compared with indigenous Australian (2.1) and nonindigenous (2.2) p = 0.011.
Conclusions:
Indigenous Australian and Maori/Pacifica youth in ADDN were younger and had worse glycaemic control at diagnosis of type 2 diabetes. Our findings underscore the need to consider targeted and earlier screening in these “high‐risk” populations.
Details
- Title
- Type 2 diabetes in children and adolescents across Australia and New Zealand: A 6‐year audit from The Australasian Diabetes Data Network (ADDN)
- Authors
- Karissa Ludwig (Author) - Children's Hospital at WestmeadMaria E Craig (Author) - Children's Hospital at WestmeadKim C Donaghue (Author) - Children's Hospital at WestmeadAnn Maguire (Author) - University of SydneyPaul Z Benitez‐Aguirre (Corresponding Author) - University of SydneyADDN Study Group (Author)Steven James (Group Member) - University of the Sunshine Coast, Queensland, School of Health - Nursing
- Publication details
- Pediatric Diabetes, Vol.22(3), pp.380-387
- Publisher
- Wiley-Blackwell Publishing, Inc.
- Date published
- 2021
- DOI
- 10.1111/pedi.13169
- ISSN
- 1399-5448
- Organisation Unit
- University of the Sunshine Coast, Queensland; School of Health - Nursing
- Language
- English
- Record Identifier
- 99575508402621
- Output Type
- Journal article
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- Collaboration types
- Domestic collaboration
- Web Of Science research areas
- Endocrinology & Metabolism
- Pediatrics
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Source: InCites