Type 1 diabetes

Projections of Type 1 and Type 2 Diabetes Burden in the U.S. Population Aged <20 Years Through 2060: The SEARCH for Diabetes in Youth Study

Diabetes CarePublished Modelling study

Authors' conclusion

The number of youths with diabetes in the U.S. is likely to substantially increase in future decades, which emphasizes the need for prevention to attenuate this trend.

Study context

Population
U.S. youth aged <20 years; SEARCH for Diabetes in Youth study data, 2002–2017
Comparison
Constant incidence vs continued increasing incidence trends
Outcome
Projected prevalence and number of youths with T1D and T2D, and trends in racial and ethnic disparities
Follow-up
Through 2060
Methodological detailsmathematical model, scenario projections
  • Mathematical model
  • Scenario projections

Main finding

As reported in the abstract

Number of youths with diabetes · 2060
GroupValueT1DT2DRelative increase T1DRelative increase T2D
Constant incidence239,000 (95% CI 209,000–282,000)191,00048,0003% (95% CI −9%; 21%)69% (95% CI 43%; 109%)
Increasing incidence526,000 (95% CI 335,000–893,000)306,000220,00065% (95% CI 12%; 158%)673% (95% CI 362%; 1,341%)

Value

Constant incidence239,000 (95% CI 209,000–282,000)
Increasing incidence526,000 (95% CI 335,000–893,000)

T1D

Constant incidence191,000
Increasing incidence306,000

T2D

Constant incidence48,000
Increasing incidence220,000

Relative increase T1D

Constant incidence3% (95% CI −9%; 21%)
Increasing incidence65% (95% CI 12%; 158%)

Relative increase T2D

Constant incidence69% (95% CI 43%; 109%)
Increasing incidence673% (95% CI 362%; 1,341%)
Number of youths with diabetes in 2017
213,000 (95% CI 209,000; 218,000) (T1D 185,000, T2D 28,000)

Further findings

In both scenarios, substantial widening of racial and ethnic disparities in T2D prevalence expected, highest prevalence among non-Hispanic Black youth

Original publication

Projections of Type 1 and Type 2 Diabetes Burden in the U.S. Population Aged <20 Years Through 2060: The SEARCH for Diabetes in Youth Study. Diabetes Care. Published 29 December 2022. doi:10.2337/dc22-0945

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