Type 1 diabetes

Etiologic Determinants and Characteristics of Diabetes in Haitian Youth (EDDHY Study)

Pediatr DiabetesPublished Cross-sectional study

Authors' conclusion

Idiopathic T1D is common among youth in Haiti. A significant proportion of all patients had preserved C-peptide secretion. Overall, predisposing and protective HLA patterns were identified.

Study context

Population
Haitian youth with T1D aged <22 years and diagnosed for < 2 yearsHuman leukocyte antigen (HLA): 54 subjects, 66 controls
Participants
110 participants
Exposure
Idiopathic T1D vs Immune-mediated T1D
  • Idiopathic T1Dn = 62
Outcome
Characteristics of youth-onset T1D
Methodological detailsHLA genotyping case-control component
  • HLA genotyping case-control component

Main finding

As reported in the abstract

Idiopathic T1D
62 (56.4%)
Low fasting C-peptide (FCP) levels
71 (64.5%)
DKA at diagnosis
18 (16.4%)
Onset age, years
13.5 ± 4.2 (range 2-21)
Disease duration, months
11.7 ± 8.1 (range 0-24)
Male
54%
TPOAb positive
1.1%
Thyroglobulin antibodies (TG-Ab) positive
2.2%

Observational data: associations, not effects.

Further findings

Age at diagnosis · older with idiopathic T1D

P = 0.01

BMI z-score in idiopathic T1D by age (<14 vs ≥14 years)

BMI z-score, aged <14 vs ≥14 years
−0.29 ± 1.52 vs., −1.15 ± 1.18, p=0.01

HLA associations with T1D

Risk alleles: DRB1⁣ ∗ 03:01, DRB1⁣ ∗ 09:01, DQB1⁣ ∗ 02:01, DQB1⁣ ∗ 02:02
Protective alleles: DRB1⁣ ∗ 08:04, DRB1⁣ ∗ 15:03, DQB1⁣ ∗ 06:02
Predisposing haplotypes: DRB1⁣ ∗ 03:01:01~DQB1⁣ ∗ 02:01:01, DRB1⁣ ∗ 09:01:02~DQB1⁣ ∗ 02:02:01; protective: DRB1⁣ ∗ 15:03:01~DQB1⁣ ∗ 06:02:01

Original publication

Etiologic Determinants and Characteristics of Diabetes in Haitian Youth (EDDHY Study). Pediatr Diabetes. Published 25 May 2025. doi:10.1155/pedi/9974561

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