Home > Review Articles > Child and youth health > Increasing incidence of type 2 diabetes in New Zealand children <15 years of age in a regional-based diabetes service, Auckland, New Zealand

Increasing incidence of type 2 diabetes in New Zealand children <15 years of age in a regional-based diabetes service, Auckland, New Zealand

Making Education Easy

From Māori Health Review Issue 76
Authors:
  • Sjardin N et al.
Summary:

These researchers analysed data from a cohort of 104 NZ children (aged <15 years) presenting with type 2 diabetes to a single paediatric diabetes centre in Auckland between 1995 and 2015. The cohort had a BMI standard deviation score of +2.3, blood sugar of 15.3 mmol/L, and HbA1c of 76 mmol/mol. At presentation, acanthosis nigricans was found in 90% of the children and 48% were symptomatic. One-third (33%) were Māori, 46% Pacifica, 15% Asian/Middle Eastern and 6% European. Type 2 diabetes incidence increased by 5% each year. The average annual incidence per 100,000 over the entire 21-year period was 1.5 overall, 5.9 in Pacifica and 4.1 in Māori.

Comment:
Understanding the pathways to type 2 diabetes is key if we are to address this increasing health issue. Three priority areas for me would be 1. Improved management of gestational diabetes (GDM), as offspring of mums with GDM present with early-onset type 2 diabetes; 2. Better oral health care, another risk factor for type 2 diabetes and; 3. Addressing the obesogenic environments in which Māori and Pacific people are living.
Reference: J Paediatr Child Health. 2018;54(9):1005-10
Abstract
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Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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