May 1985

Management of the Very Young Diabetic

Author Affiliations

The Children's Diabetes Management Center Department of Pediatrics University of Texas Medical Branch Galveston, TX 77550

Am J Dis Child. 1985;139(5):446-447. doi:10.1001/archpedi.1985.02140070020018

Of the estimated total of 609,000 new patients with diabetes mellitus each year, only 19,000 (3%) will have the insulin-dependent type.1 Prevalence data would suggest that only 5% to 10% of all diabetics have type I diabetes; the majority of these patients have the onset of disease when they are children or adolescents. Insulin-dependent diabetes is rare in the newborn but increases in frequency after 9 months of age.1 The majority of studies have shown young childhood (4 to 5 years of age) and preadolescence (10 to 14 years of age) to be the most common ages at onset. However, several studies have noted smaller peaks of increased incidence in children younger than 5 years of age.2-5 The number of such children with insulin-dependent diabetes may be increasing. In 1959, Imerslund6 reported a prevalence of 0.3% for children less than 3 years of age. In 1984,

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