Type 1 diabetes

Relative poverty is associated with increased risk of diabetic ketoacidosis at onset of type 1 diabetes in children. A Swedish national population‐based study in 2014–2019

Diabet MedPublished Retrospective cohort study

Main finding · DKA at diagnosisResult — go to the resultEstimate 1.41 CI 1.12–1.77

Authors' conclusion

Relative poverty significantly increases the risk of diabetic ketoacidosis at onset of type 1 diabetes in children, even in a high-income country with publicly reimbursed health care.

Study context

Population
Children diagnosed with new-onset T1D in 2014–2019, Swedish National Diabetes Register (NDR) linked with Statistics Sweden
Exposure
Household relative poverty vs no relative poverty
Outcome
DKA at diagnosis (venous pH <7.30 or serum bicarbonate <18 mmol/L)
Follow-up
Onset of T1D
Methodological detailsnational population-based, register linkage
  • National population-based
  • Register linkage

Main finding

DKA at diagnosis

Estimate

1.41

CI 1.12–1.77

P = 0.004

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeRR (CI)P value
Severe DKA (pH <7.10)2.10 (1.35–3.25)P = 0.001

Original publication

Relative poverty is associated with increased risk of diabetic ketoacidosis at onset of type 1 diabetes in children. A Swedish national population‐based study in 2014–2019. Diabet Med. Published 11 January 2024. doi:10.1111/dme.15283

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