title: Diabetes in the young: a population-based study of South Asian, Chinese and White people.
abstract: OBJECTIVE
  Rates of diabetes mellitus in the young have not been quantified on a population level, particularly in South Asian and Chinese populations, which bear high rates of diabetes. We determined the incidence of diabetes (Type 2 diabetes and diabetes using insulin only) and rates of hospitalizations among South Asian, Chinese and White people aged 5-29 years with newly diagnosed diabetes.
  
  
  METHODS
  People with newly diagnosed diabetes (1997-2006) in British Columbia, Canada were identified using population-based administrative data and pharmacy databases. Age-standardized incidence rates were calculated for people with diabetes prescribed insulin only and those with Type 2 diabetes. They were followed for up to 8 years for all hospitalizations and diabetes-related complications.
  
  
  RESULTS
  There were 712 South Asians, 498 Chinese and 6176 White people aged 5-29 years with diabetes. Most youth with diabetes had Type 2 diabetes (South Asian 86.4%; Chinese 87.1% and White 61.8%). The incidence of diabetes on insulin only was highest in White people compared with the other groups. The incidence of Type 2 diabetes was highest in South Asians, particularly in 20-29-year-olds, with rates 2.2 times that of White people and 3.1 times that of Chinese people. Hospitalization and diabetes-related complications were uncommon in all groups.
  
  
  CONCLUSIONS
  The incidence of Type 2 diabetes is higher than previously estimated among youth and is now surpassing diabetes on insulin only. Significant reductions in Type 2 diabetes screening ages in South Asians need to be considered and prevention efforts are urgently required in childhood and adolescence. Global estimates need to consider the epidemic of Type 2 diabetes in the young.
authors.affiliation: Department of Medicine, University of British Columbia, Vancouver, Canada.
authors.forename: C
authors.initials: C
authors.lastname: Ke
authors.forename: P
authors.initials: P
authors.lastname: Sohal
authors.forename: H
authors.initials: H
authors.lastname: Qian
authors.forename: H
authors.initials: H
authors.lastname: Quan
authors.forename: N A
authors.initials: NA
authors.lastname: Khan
mesh_terms: D000293:Adolescent; D000328:Adult; D001208:Asia / Q000208:ethnology; D001955:British Columbia / Q000208:ethnology; D002648:Child; D002675:Child, Preschool; D002681:China / Q000208:ethnology; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy / Q000208:ethnology*; D003924:Diabetes Mellitus, Type 2 / Q000188:drug therapy / Q000208:ethnology*; D005260:Female; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D015994:Incidence; D061385:Insulins / Q000627:therapeutic use; D008297:Male; D055815:Young Adult
chemical_list: D007004:Hypoglycemic Agents; D061385:Insulins