Diabetes Care: From adolescence to adulthood, what is the trend of hospitalization for patients with diabetes?

As with diabetes adolescent transition to adulthood, their adherence to treatment regimens may be poor, and may be prone to diabetic ketoacidosis (DKA) or severe hypoglycemia (SH) and other complications
.

During childhood and adolescence, diabetes care gradually shifts from supervision by parents and other adults to self-care management .

As with diabetes adolescent transition to adulthood, their adherence to treatment regimens may be poor, and diabetic ketoacidosis may be prone to diabetes (DKA) or severe hypoglycemia hypoglycemia (SH) and other complications

This is a retrospective cohort study using the 2014-2018 inpatient database from the California Office of Statewide Health Planning and Development (OSHPD) .

It is determined that the main diagnosis of 13-24 years old is diabetic ketoacidosis, hypoglycemia, or closely related conditions, such as non-ketotic hyperglycemia, high osmolality and diabetes, or diabetic coma .
These hospitalizations are called " diabetes-related hospitalizations .

This is a retrospective cohort study using the 2014-2018 inpatient database from the California Office of Statewide Health Planning and Development (OSHPD) .
It is determined that the main diagnosis of 13-24 years old is diabetic ketoacidosis, hypoglycemia, or closely related conditions, such as non-ketotic hyperglycemia, high osmolality and diabetes, or diabetic coma .
These hospitalizations are called diagnostic " diabetes-related hospitalizations .
"

In total the 34 749 times T1D and 3304 times T2D hospital admissions
.

In the transition to adulthood during hospitalization rates increase with age and a significant increase from the 17 -year-old 70/10 500,000 Californians population to 19 -year-old 132/10 population of 500,000 Californians

In total the 34 749 times T1D and 3304 times T2D hospital admissions

Diabetes-related hospitalization rates by age in the California population

Diabetes-related hospitalization rates by age in the California population

More young people are admitted to participate in public insurance, and about half come from the lowest quarter of income
.

No difference was observed in length of hospitalization; however, the cost of hospitalization for adults is higher

More young people are admitted to participate in public insurance, and about half come from the lowest quarter of income

Diabetes-related hospitalization rates of different ages in the T1D population

Diabetes-related hospitalization rates of different ages in the T1D population

This study proved that the hospitalization rate of T1D patients during the transition period increased significantly
.

There are significantly more blacks who participate in public insurance and have lower socioeconomic status

This study proved that the hospitalization rate of T1D patients during the transition period increased significantly

Reference: Trend of Diabetes-Related Hospital Admissions During the Transition Period From Adolescence to Adulthood in the State of California Angel Siu Ying Nip, Maya Lodish Diabetes Care Dec 2021, 44 (12) 2723-2728;DOI: 10.
2337/dc21-0555 DOI: 10.
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