Changes in the epidemiological indicators of type 1 diabetes mellitus in children and adolescents living in the closed administrative and territorial entity

Abstract

Type 1 diabetes mellitus (DM) (T1DM) in children remains one of the most important problems of endocrinology due to the constant increase in new cases of the disease. Objective. To analyze the main epidemiological indicators (morbidity and incidence rates) of DM among children and adolescents who live in the closed administrative-territorial entity (CATE) and to compare the data from the federal DM register with those in that of the Krasnoyarsk Territory and Russian Federation to assess trends and to plan further work on the provision of specialized medical care, as well as the rational use of material and human resources. Material and methods. The data of regional DM register in the past 10 years (2010–2021), as well as those in the outpatient records of T1DM who lived in the CATE of the Krasnoyarsk Territory were studied and analyzed. Morbidity and incidence rates were calculated; a comparative analysis was carried out. The data available in the register and medical documentation were analyzed and there was evidence for the age and gender characteristics of a manifestation of the disease. Results. The incidence of DM among the pediatric population in the CATE exceeded the average statistical indicators in the Krasnoyarsk Territory. The age structure of sick children was dominated by a 15–18-year group. The gender characteristics included higher morbidity rates among the boys in the entire group of the examinees. An assessment of the incidence of DM revealed its stable increase with the maximum figure by 2021. Conclusion. The presented data and the analysis of indicators can be used in further observations and for the comparison with future data on the incidence of DM in children in the CATEs.