[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
March 18, 1983

Detection of Diabetes

Author Affiliations

American Diabetes Association New York

JAMA. 1983;249(11):1438. doi:10.1001/jama.1983.03330350020018

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


To the Editor.—  During the past decade, epidemiologists dealing with diabetes have accumulated information that indicates that 70% of the new cases of insulin-dependent diabetes mellitus (IDDM) in the young occur from November through March. Most cases occur in persons who are between 5 and 14 years of age (Howard Fishbein, PhD, and Richard Hamman, MD, PhD, oral communications, 1982). Many are initially seen as cases of the flu or viral gastroenteritis. The family or the patient may not mention increased thirst or urination because of the overwhelming nature of the gastrointestinal tract symptoms and the dehydration. Many patients have no family history of diabetes and, thus, are not familiar with the symptoms or dismiss diabetes as not being likely to occur in their family. As a result, there is an increased risk that diabetic ketoacidosis (DKA) may be misdiagnosed as "flu" or "gastroenteritis" during late fall to early spring.