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Original research| Volume 5, ISSUE 4, P223-229, December 2011

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Clinical profile of diabetes in the young seen between 1992 and 2009 at a specialist diabetes centre in south India

  • Anandakumar Amutha
    Affiliations
    Madras Diabetes Research Foundation & Dr. Mohan's Diabetes Specialities Centre, WHO Colloborating Centre for Non-communicable Diseases Prevention and Control, IDF Centre for Education, 4, Conran Smith Road, Gopalapuram, Chennai 600086, India
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  • Manjula Datta
    Affiliations
    Madras Diabetes Research Foundation & Dr. Mohan's Diabetes Specialities Centre, WHO Colloborating Centre for Non-communicable Diseases Prevention and Control, IDF Centre for Education, 4, Conran Smith Road, Gopalapuram, Chennai 600086, India
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  • Ittianath Ranjith Unnikrishnan
    Affiliations
    Madras Diabetes Research Foundation & Dr. Mohan's Diabetes Specialities Centre, WHO Colloborating Centre for Non-communicable Diseases Prevention and Control, IDF Centre for Education, 4, Conran Smith Road, Gopalapuram, Chennai 600086, India
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  • Ranjit Mohan Anjana
    Affiliations
    Madras Diabetes Research Foundation & Dr. Mohan's Diabetes Specialities Centre, WHO Colloborating Centre for Non-communicable Diseases Prevention and Control, IDF Centre for Education, 4, Conran Smith Road, Gopalapuram, Chennai 600086, India
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  • Author Footnotes
    1 Deceased.
    Mohan Rema
    Footnotes
    1 Deceased.
    Affiliations
    Madras Diabetes Research Foundation & Dr. Mohan's Diabetes Specialities Centre, WHO Colloborating Centre for Non-communicable Diseases Prevention and Control, IDF Centre for Education, 4, Conran Smith Road, Gopalapuram, Chennai 600086, India
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  • Kabayam M. Venkat Narayan
    Affiliations
    Hubert Department of Global Health and Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States
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  • Viswanathan Mohan
    Correspondence
    Corresponding author. Tel.: +91 44 4396 8888; fax: +91 44 2835 0935.
    Affiliations
    Madras Diabetes Research Foundation & Dr. Mohan's Diabetes Specialities Centre, WHO Colloborating Centre for Non-communicable Diseases Prevention and Control, IDF Centre for Education, 4, Conran Smith Road, Gopalapuram, Chennai 600086, India
    Search for articles by this author
  • Author Footnotes
    1 Deceased.

      Abstract

      Aim

      To describe the trends and clinical profile of young diabetic patients (YD) attending a tertiary diabetes centre in south India.

      Methods

      We reviewed medical records of 2630 YD patients (age at onset ≤25 years) registered between 1992 and 2009. Patients were classified as type 1 diabetes (T1DM), type 2 diabetes (T2DM) gestational diabetes mellitus (GDM) and other types. Retinopathy was assessed initially by direct and indirect ophthalmoscopy and later by retinal photography, nephropathy if urine protein excretion was >500 mg/day, neuropathy if vibration perception threshold on biothesiometry was ≥20 V.

      Results

      The percentage of YD patients rose from 0.55% in 1992 to 2.5% in 2009 (trend chi square, 15.1, p < 0.001). Of the 2630 YD subjects registered, 1135 (43.2%) had T1DM, 1262 (48.0%) had T2DM, 118 (4.5%) had GDM and 115 (4.4%) other types. T1DM patients were younger, had lower body mass index, waist circumference, systolic and diastolic blood pressures, and less family history of diabetes compared to T2DM (p < 0.001 for each). Retinopathy was seen in 71.9% and 77.3% nephropathy in 22.1% and 12.1% and neuropathy in 34.5% and 21.4% of T2DM and T1DM respectively in those with ≥15 years duration of diabetes.

      Conclusions

      The percentage of YD in south India is increasing, predominantly due to early onset T2DM.

      Keywords

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