Pediatric Diabetes

 A plateau in new onset type 1 diabetes: Incidence of pediatric diabetes in the United States Military Health System
Objectives To describe the incidence and prevalence of type 1 diabetes among pediatric dependents of the U.S. Department of Defense (DoD). Methods The Military Health System (MHS) Data Repository was used to identify pediatric patients (? 17 years of age) with type 1 diabetes from January 1, 2007 to December 31, 2012. Annual incidence, annual prevalence and adjusted incidence were calculated and stratified by sex, age group and region of residence. Results Within a 6-year study period from 2007-2012, 5,616 pediatric patients with type 1 diabetes were identified; 57% male, mean (SD) age of 10.9 (4.2) years. Annual type 1 diabetes incidence (per 100,000 persons) over the 5-year time period ranged from 20.7/100,000 to 21.3/100,000. Incidence for each year was highest in the 10-14 year age group and ranged from 30.9/100,000 in 2008 to 35.2/100,000 in 2011. Annual type 1 diabetes prevalence (per 1,000 persons) remained stable throughout the study period at 1.5/1,000. Adjusted incidence for males was significantly higher compared to females (21.0/100,000 vs. 18.1/100,000; p=0.001). During the study period, annual incidence remained steady (test for trend, p=0.984). Conclusions The incidence of type 1 diabetes among children appears to plateau during the study period, suggesting a steady state of type 1 diabetes within this pediatric population. The MHS provides an accurate and up to date look at incidence of type 1 diabetes and may reflect broader trends of incidence of pediatric disease for the U.S. as a whole.