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Rising incidence of childhood type 1 diabetes in Montenegro

Mira Samardžić, Nataša Popović, Nataša Terzić

    Srpski Arhiv Za Celokupno Lekarstvo
    |April 14, 2018
    PubMed

    Insights

    Childhood type 1 diabetes incidence is rising in Montenegro, with an average annual increase of 4.2% observed between 1997 and 2011. Further research is needed to understand the causes of this trend.

    Area of Science:

    • Pediatrics
    • Endocrinology
    • Epidemiology

    Background:

    • Childhood type 1 diabetes incidence is increasing globally.
    • European countries report an average annual rise of 3–4%.

    Purpose of the Study:

    • To analyze the incidence and trends of type 1 diabetes in children aged 0–14 years in Montenegro.
    • To establish the period of 1997–2011 for trend analysis.

    Main Methods:

    • Prospective study design utilizing a diabetes register and hospital notifications.
    • Capture-recapture method for 100% complete case ascertainment.
    • Poisson regression analysis to estimate incidence trends.

    Main Results:

    • A total of 298 children were diagnosed with type 1 diabetes between 1997 and 2011.
    • The age-standardized incidence rate increased from 11.7 to 18.8 per 100,000 persons.
    • A significant average annual increase of 4.2% in incidence was observed (p = 0.002).

    Conclusions:

    • Type 1 diabetes incidence in Montenegrin children shows a continuing upward trend.
    • Further monitoring and research are essential to identify the underlying causes.
    Abstract

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