PT  - JOURNAL ARTICLE
AU  - Lawrence, Jean M.
AU  - Mayer-Davis, Elizabeth J.
AU  - Reynolds, Kristi
AU  - Beyer, Jennifer
AU  - Pettitt, David J.
AU  - D'Agostino, Ralph B.
AU  - Marcovina, Santica M.
AU  - Imperatore, Giuseppina
AU  - Hamman, Richard F.
TI  - Diabetes in Hispanic American Youth
AID  - 10.2337/dc09-S204
DP  - 2009 Mar 01
TA  - Diabetes Care
PG  - S123--S132
VI  - 32
IP  - Supplement 2
4099  - http://care.diabetesjournals.org/content/32/Supplement_2/S123.short
4100  - http://care.diabetesjournals.org/content/32/Supplement_2/S123.full
SO  - Diabetes Care2009 Mar 01; 32
AB  - OBJECTIVE—To report the 2001 prevalence and 2002–2005 incidence of type 1 and type 2 diabetes in Hispanic American youth and to describe the demographic, clinical, and behavioral characteristics of these youth. RESEARCH DESIGN AND METHODS—Data from the SEARCH for Diabetes in Youth Study, a population-based multicenter observational study of youth aged 0–19 years with physician-diagnosed diabetes, were used to estimate the prevalence and incidence of type 1 and type 2 diabetes. Information obtained by questionnaire, physical examination, and blood and urine collection was analyzed to describe the characteristics of youth who completed a study visit. RESULTS—Among Hispanic American youth, type 1 diabetes was more prevalent than type 2 diabetes, including in youth aged 10–19 years. There were no significant sex differences in type 1 or type 2 diabetes prevalence. The incidence of type 2 diabetes for female subjects aged 10–14 years was twice that of male subjects (P < 0.005), while among youth aged 15–19 years the incidence of type 2 diabetes exceeded that of type 1 diabetes for female subjects (P < 0.05) but not for male subjects. Poor glycemic control, defined as A1C ≥9.5%, as well as high LDL cholesterol and triglycerides were common among youth aged ≥15 years with either type of diabetes. Forty-four percent of youth with type 1 diabetes were overweight or obese. CONCLUSIONS—Factors such as poor glycemic control, elevated lipids, and a high prevalence of overweight and obesity may put Hispanic youth with type 1 and type 2 diabetes at risk for future diabetes-related complications.