Type 1 diabetes

Ongoing Increase in Incidence of Diabetes in Austrian Children and Adolescents (1989–2021): Results from a Nationwide Registry

Pediatr DiabetesPublished Population-based incidence study

Authors' conclusion

The incidence of T1D in Austrian children <15 years is still increasing and showed a peak in 2021. For the first time, a significant increase in pediatric T2D was observed in Austria.

Study context

Population
Children aged <15 years in Austria, 1989–2021case ascertainment 97%
Outcome
Time trends of age-standardized incidence of T1D and T2D (annual percent changes (APCs) by joinpoint analysis)
Follow-up
1989–2021
Methodological detailsnationwide prospective registry, joinpoint analysis
  • Nationwide prospective registry
  • Joinpoint analysis

Main finding

As reported in the abstract

Diabetes incidence trends

T1D incidence peak in 2021 (per 100,000 person years)

28.7

T1D APC 2011–2020 (plateau), 95% CI [−0.99, 2.58], p = 0.379

0.78

T1D APC 1989–2011 (steep increase), 95% CI [3.94, 5.19], p < 0.001

4.6

T2D APC over observation period (significant constant increase), 95% CI [0.76, 6.26], p = 0.014

3.47

Observational data: associations, not effects.

Further findings

Age-specific T1D incidence development

Age-specific differences in T1D incidence development were observed

Other forms of diabetes vs T2D

Other forms of diabetes two times more common than T2D

Original publication

Ongoing Increase in Incidence of Diabetes in Austrian Children and Adolescents (1989–2021): Results from a Nationwide Registry. Pediatr Diabetes. Published 18 August 2023. doi:10.1155/2023/4616903

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