Among adolescents and young adults who had been diagnosed with diabetes during childhood or adolescence, the prevalence of complications related to diabetes was greater among type 2 than those who suffered from type 1, but the complications were frequent in both groups, according to a study published on Tuesday in 'Jama'.
The increase in the prevalence of type 2 diabetes in children and adolescents has been relatively recent in most populations, since the beginning of the nineties.In addition, a long -term increase in type 1 diabetes has been observed worldwide.These recent trends in type 1 diabetes and 2 diagnosed in young individuals pose the question of whether the pattern of complications differs according to the type of diabetes at similar ages and diabetes duration.
Dr. Dana Dabelea, from the Colorado Public Health School, in Aurora, United States, and her colleagues estimated the prevalence of multiple complications related to diabetes between 2,018 study participants with type 1 diabetes and type 2 diagnosed when they were less 20years.Of the participants, 1,746 presented type 1 and 272 diabetes, type 2.
more arterial rigidity and hypertension, among other problems
The average duration of diabetes was 7.9 years in both groups.The researchers found that approximately one in three teenagers and young adults with type 1 diabetes (32 %) and almost three out of four of those suffered by type 2 diabetes (72 %) had a complication.Patients with type 2 diabetes compared to those of type 1 had a higher prevalence adjusted by the age of diabetic renal disease (19.9 % compared to 5.8 %);Retinopathy (9.1 % compared to 5.6 %), peripheral neuropathy (17.7 % compared to 8.5 %), arterial stiffness (47.4 % compared to 11.6 %) and hypertension (21.6 %compared to 10.1 %).
After adjusting for the risk factors established over time, participants with type 2 diabetes compared those with type 1 were significantly higher probabilities of diabetic renal disease, retinopathy and peripheral neuropathy, but there were no significant differences in the probabilities ofarterial rigidity and hypertension."These findings support the early surveillance of young people with diabetes to the possible development of complications," the authors write.