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The
nd Annual Meeting of March 27-28, 2021 The Endocrine Society and The Diabetes Association of the R.O.C. (Taiwan)
SD1-1
OVERVIEW OF TYPE 1 DIABETES IN TAIWAN: THE INCIDENCE, PREVALENCE AND MORTALITY RATE YI-CHING TUNG Division of Pediatric Endocrinology, Department of Pediatrics, National Taiwan University Hospital and College of Medicine, National Taiwan University, Taipei, Taiwan, ROC
Type 1 diabetes (T1D) only consists 0.7% of diabetes population in Taiwan. However, these patients have onset at the young age and require lifelong insulin therapy. Material: The Database of Taiwan National Health Insurance from 2000 to 2016. Incidence: The number of new-onset T1D cases in Taiwan is about four to five hundred per year. Current incidence data reveals a trend towards younger age onset, increase by 30% in children. The standardized incidence of T1D in the general population is 2.23/105 person-year, and 6.70/105 personyear in the early adolescents. However, we still found forty percent of T1D having their onset in the adulthood. Prevalence: The prevalence of T1D in all age groups is increasing. There are more females than males having T1D. The standardized prevalence of T1D in the general population is 49.3/105 persons, and 81.54/105 persons in the late adolescents. Ninety percent of adults with T1D have been diagnosed for more than 5 years. Therefore, the transitional care from pediatrics to adults should include patient education on potential chronic complications. Mortality Rate: The standardized mortality ratio in T1D patients is three times higher than those of the general populations. In T1D patients, the most common cause of death is diabetes mellitus. Other causes include cancer, cardiovascular disease and cerebral vascular disease. Men with T1D had the higher mortality rate, and this may be associated with higher cardiovascular risks in these male patients.
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