Type 1 diabetes

Change in Body Mass Index in Youth in the First 5 Years After Type 1 Diabetes Mellitus Diagnosis

Endocr PractPublished Retrospective cohort study

Authors' conclusion

Alarmingly high rates of overweight/obesity in youth were observed within 5 years following T1D diagnosis. Awareness and further research are necessary to address this independent risk factor for morbidities.

Study context

Population
American youth with T1D diagnosed in 2015 to 2016
Exposure
Rise vs Healthy body mass index (BMI)
Outcome
BMI trajectories (overweight/obesity rates)
Follow-up
First 5 years following diagnosis
Methodological detailsretrospective record review
  • Retrospective record review

Main finding

As reported in the abstract

Overweight/obesity
Overweight/obesity near the time of diagnosis
35.5%
Overweight/obesity 5 years after diagnosis
52.8%
Rates increased over time
P < .001

Observational data: associations, not effects.

Further findings

Timing of BMI rise (rise group)

Years

Average age at BMI rise
12.7
Time after diagnosis
2.5

HbA1c, CGM use, insulin pump use

No differences between the rise group and those with healthy BMI throughout

Original publication

Change in Body Mass Index in Youth in the First 5 Years After Type 1 Diabetes Mellitus Diagnosis. Endocr Pract. Published 7 May 2024. doi:10.1016/j.eprac.2024.05.003

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