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. 2023 Jan;40(1):e14940.
doi: 10.1111/dme.14940. Epub 2022 Sep 18.

Characteristics and care of young people with type 2 diabetes included in the national diabetes audit datasets for England

Shivani Misra  1   2   3   4 , Naomi Holman  1   5 , Emma Barron  1   6 , Peter Knighton  1   7 , Justin Warner  8   9 , Partha Kar  1   6   10 , Bob Young  1 , Jonathan Valabhji  1   2   3   6
Affiliations

Characteristics and care of young people with type 2 diabetes included in the national diabetes audit datasets for England

Shivani Misra et al. Diabet Med. 2023 Jan.

Abstract

Introduction: We report contemporary age-related prevalence, characteristics and care of children and young people with type 2 diabetes in England.

Methods: Individuals with a recorded diagnosis of type 2 diabetes between January 2019 and March 2020 were identified from a whole population register. Age, sex, ethnicity, deprivation quintile, weight, HbA1c and receipt of the nine National Institute for Health & Care Excellence (NICE) recommended annual care processes were extracted from electronic clinical records and analysed by pre-specified age bands.

Results: In total, 122,780 (4.6%) of 2,642,435 individuals in England with type 2 diabetes were aged under 40 years, comprising; 650 (0.5%) under 16 years, 910 (0.7%) aged 16-18 years, 8245 (6.7%) aged 19-25 and 112,975 (92%) aged 26-39 years. Compared to people with type 2 diabetes aged above 40 years, young people were significantly more likely to be from minority ethnic groups: 51% under 16 years, 41% 16-18 years, 38% 19-25 years, 38% 26-39 years, 27% 40-59 years and 15% 60-79 years were of Black or Asian ethnicity. In addition, those aged under 40 years were more likely to be obese, women, to live in the most-deprived socioeconomic areas and less likely to receive the NICE recommended annual care processes or achieve target HbA1c .

Interpretation: The substantial number of people under 40 years of age with type 2 diabetes, are more likely to have characteristics associated with inequalities and are less likely to achieve HbA1c targets and receive recommended care processes. These findings highlight the need to consider novel approaches to service provision for this high-risk group.

Keywords: epidemiology; ethnic minority; obesity; type 2 diabetes.

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Conflict of interest statement

All authors are or have been members of clinical advisory groups to the National Diabetes Audit. BY and JV are members of the NDA Research Advisory Group. JV is National Clinical Director for Diabetes and Obesity at NHS England & NHS Improvement.

Figures

FIGURE 1
FIGURE 1
Bar chart depicting percentage of individuals in each weight category stratified by current age (in those aged under 80 years) and ethnicity in people living with type 2 diabetes in England.
See this image and copyright information in PMC

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