EXPLORATION TYPE OF DIABETES IN YOUNG PEOPLE AT BACH MAI HOSPITAL
Main Article Content
Abstract
Introduction: The prevalence of diabetes is increasing among young people, especially in developing countries. In Vietnam, this proportion is increasing, but no research has been done. Objectives: Describe the symptoms of diabetes in young people, initially identify the type of diabetes and some of its causes in this study group. Methods: A follow-up descriptive study, 127 diabetic patients aged from 18 to 40 years old, with a duration of less than 5 years, followed up in the period from July in 2021 to August in 2022. Results: Type 1 diabetes and type 2 diabetes had different rates, 24.4% and 67.7%, respectively, followed by diabetes related to pancreatic disease accounting for 7.9% of all cases. The average age at diagnosis in the study was 29 years old, with the distribution rate in both sexes being no different, 53.4% and 46.6%. Most of the young patients included in the study were at the time of diagnosis, accounting for 56.7% of the total number of patients, and the symptoms of the disease were different between diabetes types, with statistical significance in patients with type 1 diabetes and type 2 diabetes. Patients with diabetes related to pancreatic disease have clinical symptoms mainly at the time of diagnosis. Conclusion: Diabetes in young people with the incidence of type 1 and type 2 diabetes is different. Diabetes-pancreatitis also occurs at this age. Screening is recommended when associated symptoms and manifestations are present
Article Details
Keywords
Diabetes, young people, pancreatic disease, Anti GAD, Fasting C-peptid
References
2. Borg H, Arnqvist HJ, Björk E, et al. Evaluation of the new ADA and WHO criteria for classification of diabetes mellitus in young adult people (15-34 yrs) in the Diabetes Incidence Study in Sweden (DISS). Diabetologia. 2003;46(2):173-181. doi:10.1007/s00125-002-1021-4
3. Pan CY, So WY, Khalid BAK, et al. Metabolic, immunological and clinical characteristics in newly diagnosed Asian diabetes patients aged 12-40 years. Diabet Med J Br Diabet Assoc. 2004;21(9):1007-1013. doi:10.1111/j.1464-5491.2004.01287.x
4. Mayer-Davis EJ, Davis C, Saadine J, et al. Diabetic retinopathy in the SEARCH for Diabetes in Youth Cohort: a pilot study. Diabet Med J Br Diabet Assoc. 2012;29(9):1148-1152. doi:10.1111/j.1464-5491.2012.03591.x
5. Khunti K, Del Prato S, Mathieu C, Kahn SE, Gabbay RA, Buse JB. COVID-19, Hyperglycemia, and New-Onset Diabetes. Diabetes Care. 2021;44(12):2645-2655. doi:10.2337/dc21-1318
6. Constantino MI, Molyneaux L, Limacher-Gisler F, et al. Long-term complications and mortality in young-onset diabetes: type 2 diabetes is more hazardous and lethal than type 1 diabetes. Diabetes Care. 2013;36(12):3863-3869. doi:10.2337/dc12-2455
7. Dart AB, Sellers EA, Martens PJ, Rigatto C, Brownell MD, Dean HJ. High burden of kidney disease in youth-onset type 2 diabetes. Diabetes Care. 2012;35(6):1265-1271. doi:10.2337/dc11-2312
8. de Ferranti SD, de Boer IH, Fonseca V, et al. Type 1 diabetes mellitus and cardiovascular disease: a scientific statement from the American Heart Association and American Diabetes Association. Diabetes Care. 2014;37(10):2843-2863. doi:10.2337/dc14-1720
9. Hillier TA, Pedula KL. Complications in young adults with early-onset type 2 diabetes: losing the relative protection of youth. Diabetes Care. 2003;26(11):2999-3005. doi:10.2337/diacare.26.11.2999
10. Diabetes. Accessed June 19, 2021. https://www.who.int/news-room/fact-sheets/detail/diabetes