Autoimmune diseases in children and adults with type 1 diabetes from the T1D exchange clinic registry

Jing W. Hughes, Tonya D. Riddlesworth, Linda DiMeglio, Kellee M. Miller, Michael R. Rickels, Janet B. McGill

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Background and Aims: Type 1 diabetes (T1D) is associated with other autoimmune diseases (AIDs), but the prevalence and associated predictive factors for these comorbidities of T1D across all age groups have not been fully characterized. Materials and Methods: Data obtained from 25 759 participants with T1D enrolled in the T1D Exchange Registry were used to analyze the types and frequency of AIDs as well as their relationships to gender, age, and race/ethnicity. Diagnoses of autoimmune diseases, represented as ordinal categories (0, 1, 2, 3, or more AIDs) were obtained from medical records of Exchange Registry participants. Results:Amongthe 25 759 T1D Exchange participants,50%were female,82%non-Hispanic white, mean age was 23.0±16.9 years and mean duration of diabetes was 11 years. Of these participants, 6876 (27%) were diagnosed with at least one AID. Frequency of two or more AIDs increased from 4.3% in participants aged younger than 13 years to 10.4% in those aged 50 years or older. The most commonAIDs were thyroid (6097, 24%), gastrointestinal (1530, 6%),andcollagen vascular diseases (432, 2%). Addison's disease was rare (75, 0.3%). The prevalence of one or more AIDs was increased in females and non-Hispanic whites and with older age. Conclusions: In the T1D Exchange Clinic Registry, a diagnosis of one or more AIDs in addition to T1D is common, particularly in women, non-Hispanic whites, and older individuals. Results of this study have implications for both primary care and endocrine practice and will allow clinicians to better anticipate and manage the additional AIDs that develop in patients with T1D.

Original languageEnglish (US)
Pages (from-to)4931-4937
Number of pages7
JournalJournal of Clinical Endocrinology and Metabolism
Volume101
Issue number12
DOIs
StatePublished - Dec 1 2016

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Medical problems
Type 1 Diabetes Mellitus
Autoimmune Diseases
Registries
Addison Disease
Vascular Diseases
Medical Records
Comorbidity
Primary Health Care
Thyroid Gland
Age Groups

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Biochemistry
  • Endocrinology
  • Clinical Biochemistry
  • Biochemistry, medical

Cite this

Autoimmune diseases in children and adults with type 1 diabetes from the T1D exchange clinic registry. / Hughes, Jing W.; Riddlesworth, Tonya D.; DiMeglio, Linda; Miller, Kellee M.; Rickels, Michael R.; McGill, Janet B.

In: Journal of Clinical Endocrinology and Metabolism, Vol. 101, No. 12, 01.12.2016, p. 4931-4937.

Research output: Contribution to journalArticle

Hughes, Jing W. ; Riddlesworth, Tonya D. ; DiMeglio, Linda ; Miller, Kellee M. ; Rickels, Michael R. ; McGill, Janet B. / Autoimmune diseases in children and adults with type 1 diabetes from the T1D exchange clinic registry. In: Journal of Clinical Endocrinology and Metabolism. 2016 ; Vol. 101, No. 12. pp. 4931-4937.
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abstract = "Background and Aims: Type 1 diabetes (T1D) is associated with other autoimmune diseases (AIDs), but the prevalence and associated predictive factors for these comorbidities of T1D across all age groups have not been fully characterized. Materials and Methods: Data obtained from 25 759 participants with T1D enrolled in the T1D Exchange Registry were used to analyze the types and frequency of AIDs as well as their relationships to gender, age, and race/ethnicity. Diagnoses of autoimmune diseases, represented as ordinal categories (0, 1, 2, 3, or more AIDs) were obtained from medical records of Exchange Registry participants. Results:Amongthe 25 759 T1D Exchange participants,50{\%}were female,82{\%}non-Hispanic white, mean age was 23.0±16.9 years and mean duration of diabetes was 11 years. Of these participants, 6876 (27{\%}) were diagnosed with at least one AID. Frequency of two or more AIDs increased from 4.3{\%} in participants aged younger than 13 years to 10.4{\%} in those aged 50 years or older. The most commonAIDs were thyroid (6097, 24{\%}), gastrointestinal (1530, 6{\%}),andcollagen vascular diseases (432, 2{\%}). Addison's disease was rare (75, 0.3{\%}). The prevalence of one or more AIDs was increased in females and non-Hispanic whites and with older age. Conclusions: In the T1D Exchange Clinic Registry, a diagnosis of one or more AIDs in addition to T1D is common, particularly in women, non-Hispanic whites, and older individuals. Results of this study have implications for both primary care and endocrine practice and will allow clinicians to better anticipate and manage the additional AIDs that develop in patients with T1D.",
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AB - Background and Aims: Type 1 diabetes (T1D) is associated with other autoimmune diseases (AIDs), but the prevalence and associated predictive factors for these comorbidities of T1D across all age groups have not been fully characterized. Materials and Methods: Data obtained from 25 759 participants with T1D enrolled in the T1D Exchange Registry were used to analyze the types and frequency of AIDs as well as their relationships to gender, age, and race/ethnicity. Diagnoses of autoimmune diseases, represented as ordinal categories (0, 1, 2, 3, or more AIDs) were obtained from medical records of Exchange Registry participants. Results:Amongthe 25 759 T1D Exchange participants,50%were female,82%non-Hispanic white, mean age was 23.0±16.9 years and mean duration of diabetes was 11 years. Of these participants, 6876 (27%) were diagnosed with at least one AID. Frequency of two or more AIDs increased from 4.3% in participants aged younger than 13 years to 10.4% in those aged 50 years or older. The most commonAIDs were thyroid (6097, 24%), gastrointestinal (1530, 6%),andcollagen vascular diseases (432, 2%). Addison's disease was rare (75, 0.3%). The prevalence of one or more AIDs was increased in females and non-Hispanic whites and with older age. Conclusions: In the T1D Exchange Clinic Registry, a diagnosis of one or more AIDs in addition to T1D is common, particularly in women, non-Hispanic whites, and older individuals. Results of this study have implications for both primary care and endocrine practice and will allow clinicians to better anticipate and manage the additional AIDs that develop in patients with T1D.

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