Abstract:
OBJECTIVE:The national burden of type 2 diabetes mellitus (T2DM) is increasing rapidly. This study investigated a) clinical differences between early onset and later onset T2DM; and b) if specific risk factors were associated with age at diagnosis or clinical outcomes among uninsured adults in a large urban setting. METHODS:We compared 417 adults diagnosed under age 30 with 968 adults diagnosed ages 50-58 on clinical and social measures using standard parametric tests. RESULTS:Early onset patients had higher hemoglobin A1c, were more likely to smoke and to be depressed, and had more emergency department visits. Insulin monotherapy was more common in early onset patients (32% vs. 11%). Complications were already present in 11% of early onset patients and 29% of later onset patients within one year of diagnosis. CONCLUSION:Early onset patients had more acute beta-cell failure and coped less well with their diabetes. It is crucial to expand specialized diabetes resources for young, medically indigent patients.
journal_name
J Health Care Poor Underservedjournal_title
Journal of health care for the poor and underservedauthors
Smith TL,Drum ML,Miernik J,Fogelfeld LA,Lipton RBdoi
10.1353/hpu.0.0072subject
Has Abstractpub_date
2008-11-01 00:00:00pages
1119-35issue
4eissn
1049-2089issn
1548-6869pii
S1548686908400050journal_volume
19pub_type
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