Parental history and early-onset type 2 diabetes in African Americans and Latinos in Chicago.
OBJECTIVE
To examine the role of parental diabetes mellitus (DM) in the development of type 2 DM among children and adolescents from high-risk ethnic groups.


METHODS
A population-based dataset of insulin-treated diabetes among African American and Latino children <18 years old yielded 243 cases who completed an interview. A subset with features of type 2 DM was identified (n = 44) using one or more criteria: stopping insulin therapy; using oral hypoglycemic agents; acanthosis nigricans; polycystic ovary syndrome; denoted "atypical" or "type 2" by a physician.


RESULTS
Of all the patients, 76% had no known diabetic parent; 7% had father only; 15% had mother only; and 2.5% had two diabetic parents. Parental DM was more likely in type 2 than in type 1 children (only paternal, 15.9% vs 5.5%, P <.02; only maternal, 38.6% vs 9.5%, P <.01; or both, 6.8% vs 1.5%, P <.01).


CONCLUSIONS
A positive parental history of DM appears to be more strongly related to childhood type 2 than to type 1 DM. Whether this is a reflection of genetic or behavioral factors is yet unclear.
Onyemere
Kingsley U
KU
Division of Epidemiology and Biostatistics, University of Illinois at Chicago, School of Public Health, 60637, USA.
Lipton
Rebecca B
RB
D000293:Adolescent; D017668:Age of Onset; D044383:Black People; D002641:Chicago / Q000453:epidemiology; D002648:Child; D003920:Diabetes Mellitus / Q000235:genetics; D003922:Diabetes Mellitus, Type 1 / Q000208:ethnology / Q000235:genetics; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology* / Q000235:genetics*; D005006:Ethnicity; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D008297:Male; D010290:Parents; D012042:Registries; D001741:Black or African American