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Child and Teen Deaths from Diabetes Plummet Over 41-Year Period


Nov 23, 2012

The overall death rate from diabetes among children 19 years and younger plummeted 61 percent over the years 1968 through 2009.

Gratifying news from the Centers for Disease Control and Prevention: The overall death rate from diabetes among children 19 years and younger plummeted 61 percent over the years 1968 through 2009.

The CDC published the statistic in its November 1 Morbidity and Mortality Weekly Report. Among the findings it reported:

There was a 78 percent reduction in deaths associated with diabetes among children under 10
There was a 52 percent reduction in deaths associated with diabetes among children ages 10 to 19

However, there is one fly in the ointment: While the cumulative CDC measure of "annual percentage change" in the death rates for both age groups is impressive, after 1984 the annual percentage change for the 10-19 age group increased by 1.6 percent each year through 2009. 

The under-10 group enjoyed a 27-year run of 5.7 percent annual declines in their rate of deaths from diabetes. However, after 1995, their annual percentage change declined by only 0.3 percent.

Despite the slowdown or reversals in annual percentage changes, the statistics show that modern methods of treatment, including greater nutritional knowledge, a growing array of drug therapies, and more sophisticated monitoring technology have had a beneficial effect on diabetic youths' mortality rates.

Still, the slackening of the rate of decrease that began in 1984 for the 10-19 age group and 1996 for the under-10s may be a side effect of the increasing influence of junk food and casual eating habits. Even with many modern aids to manage diabetes, young people are still liable to pick up bad food habits or not adhere to treatment routines.

Ironically, the CDC noted that because more young people are surviving diabetes, the number of youths recorded as having the disease has probably increased over the past 40 years.
The most common causes of death from diabetes in young people are ketoacidosis and hypoglycemia.

(In diabetic ketoacidosis (DKA), the body's chemical balance becomes so acidic that it can lead to coma or death. DKA is caused by too little insulin in the body, which means it cannot metabolize glucose as an energy source. The body begins breaking down fat for energy, a process that produces ketones-toxic acids-as a byproduct.)


Categories: Death, Diabetes Health, Diabetes Health Magazines, Diabetic, DKA, Hypoglycemia, Ketoacidosis



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Comments

Posted by Anonymous on 27 November 2012

Diet is as much a part of managing T1 as it is in any other type of diabetes. The increase in consumption of overprocessed junk food could very well have an affect on the statistics. Trying to gauge the carb counts & insulin for food with less than healthy ingredients is a crap shoot, at best. Hypos from over bolusing are common.

Posted by Anonymous on 27 November 2012

agreed with above -- that food comment shocked me. I mean do you really think a kid can EAT themself to death? DKA is more than just making a strange food choice. In fact you can eat what you want if you match it with insulin.

I wonder if the slowing in decrease comes from technology -- parents seem to be attempting crazy tight control and not allowing their kids to ffeel their lows?

Posted by Anonymous on 28 November 2012

I also don't like the "junk food" comment; it may be due to tighter control via insulin pumps-- there are all sorts of possibilities. I have woken up *every morning* for the past 6 years wondering if my kid is still alive, and he doesn't eat junk food. He is compliant with treatment regimes. The fact is, young people's bodies do not often wake themselves up when low, as adults do. And treatment regimes cannot possibly include the effect of things like growth hormones on blood sugar levels.


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