Register for email alerts and news feeds:
This journal | BMJ Group
rss
Archives of Disease in Childhood 1997;77:210-213; doi:10.1136/adc.77.3.210
Copyright © 1997 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.
Arch Dis Child 1997;77:210-213 ( September )

Rising incidence of type 1 diabetes in Scottish children, 1984-93

Jayanti J Rangasami,a Darren C Greenwood,b Brenda McSporran,c Peter J Smail,c Chris C Patterson,d Norman R Waughe, on behalf of the Scottish Study Group for the Care of Young Diabetics

a West Middlesex University Hospital, Isleworth, b Nuffield Institute for Health, Leeds University, c Royal Aberdeen Children's Hospital, d Department of Epidemiology and Public Health, Queen's University of Belfast, e Public Health Medicine, Aberdeen

Correspondence to: Dr Jayanti J Rangasami, West Middlesex University Hospital, Twickenham Road, Isleworth, Middlesex TW7 OAF.


Accepted 30 May 1997

OBJECTIVES---To calculate the incidence of type 1 diabetes in Scottish children aged less than 15 years between 1984 and 1993; to examine changes in incidence; and to calculate the prevalence of diabetes at the end of this period.
DESIGN---Three data sources were used to construct the Scottish Study Group for the Care of Young Diabetics register: active reporting of all new cases; reports from the Scottish Morbidity Register 1; and local registers.
SUBJECTS---All children resident in Scotland diagnosed with primary insulin dependent diabetes mellitus when less than 15 years of age between 1984 and 1993.
MAIN OUTCOME MEASURES---Annual incidence and prevalence rate for Scotland; time trend in incidence over the 10 years; differences in incidence between the three different age groups; and completeness of the register.
RESULTS---The average annual incidence for Scotland was 23.9/100 000 children. The prevalence rate was 1.5/1000 in 1993. A total of 2326 cases was identified from the three sources. Capture-recapture analysis suggests a case ascertainment of 98.6%. The annual incidence rates increased at a rate of 2% each year (rate ratio = 1.02, 95% confidence interval (CI) 1.01 to 1.03). The incidence was higher in boys than girls (rate ratio = 1.08, 95% CI 1.00 to 1.18), and the incidence rates increased with age: 15.3/100 000/year for age 0-4 years, 24.4/100 000/year for age 5-9 years, and 31.9/100 000/year for age 10-14 years.
CONCLUSIONS---The incidence of type 1 diabetes in Scotland is increasing and the prevalence is relatively high. These findings have important implications for health service resource allocation. The Scottish Study Group for the Care of Young Diabetics' register provides a base for monitoring and research.

Keywords: insulin dependent diabetes mellitus; environmental triggers; genetic susceptibility; prevalence

© 1997 by Archives of Disease in Childhood
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?

This article has been cited by other articles:

  • Cody, D. (2007). Infant and toddler diabetes. Arch. Dis. Child. 92: 716-719 [Full Text]  
  • Congdon, P. (2006). Estimating diabetes prevalence by small area in England. J Public Health (Oxf) 28: 71-81 [Abstract] [Full Text]  
  • Oldroyd, J, Banerjee, M, Heald, A, Cruickshank, K (2005). Diabetes and ethnic minorities. Postgrad. Med. J. 81: 486-490 [Abstract] [Full Text]  
  • Betts, P R, Swift, P G F (2003). Doctor, who will be looking after my child's diabetes?. Arch. Dis. Child. 88: 6-7 [Full Text]  
  • Jefferson, I G, Swift, P G F, Skinner, T C, Hood, G K (2003). Diabetes services in the UK: third national survey confirms continuing deficiencies. Arch. Dis. Child. 88: 53-56 [Abstract] [Full Text]  
  • Campbell, I. W, Nairn, M. (2002). Scottish Intercollegiate Guidelines Network: management of diabetes (SIGN 55). British Journal of Diabetes & Vascular Disease 2: 50-52 [Abstract]  
  • Byrnes, G., Patterson, C C, Dahlquist, G, Soltesz, G, Gunn, A. J, Cutfield, W. S, Hofman, P. L, Jeferries, C., Stene, L. C., Joner, G., Bingley, P. J, Gale, E. A M (2001). Maternal age and risk of type 1 diabetes in children. BMJ 322: 1489-1489 [Full Text]  
  • Scottish Study Group for the Care of the Young Dia, (2001). Factors Influencing Glycemic Control in Young People With Type 1 Diabetes in Scotland: A population-based study (DIABAUD2). Diabetes Care 24: 239-244 [Abstract] [Full Text]  
  • Morrison, A, Stone, D H (2000). Capture-recapture: a useful methodological tool for counting traffic related injuries?. Inj. Prev. 6: 299-304 [Abstract] [Full Text]  
  • Hunter, I., Greene, S. A, MacDonald, T. M, Morris, A. D (2000). Prevalence and aetiology of hypothyroidism in the young. Arch. Dis. Child. 83: 207-210 [Abstract] [Full Text]  
  • Rangasami, J J, Greenwood, D C, McSporran, B, Smail, P J, Patterson, C C, Waugh, N R (1998). Childhood insulin dependent diabetes: Oxford may not be representative. BMJ 316: 392-392 [Full Text]  

This Article

Services
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with

Register for free content

The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Latest from ADC

 

ADC is co-owned by the RCPCH and is the official journal of the European Academy of Paediatrics

BMJ Careers - Latest Paediatrics and Paediatric Surgery Jobs

Paediatrics and Paediatric Surgery Jobs

Show me all >>