Evidence map›Paper›PMID 39503771›Full record

Observational studyDiabetologia2025

Frequency and clinical characteristics of children and young people with type 2 diabetes at diagnosis from five world regions between 2012 and 2021: data from the SWEET Registry.

Rosaria Gesuita, Alexander J Eckert, Stéphane Besançon, Nancy A Crimmins, Fred Cavallo, Jaehyun Kim, Craig Jefferies, Evelien F Gevers, Anastasios Vamvakis, Sejal Shah and 3 more

Abstract readObservational Study
In one paragraph

Observational study in Diabetologia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. The Rise and Rise of Type 1 and Type 2 Diabetes in Youth.Diabetes, metabolic syndrome and obesity : targets and therapy · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Rosaria GesuitaCenter of Epidemiology, Biostatistics and Medical Information Technology, Università Politecnica delle Marche, Ancona, Italy.ORCID http://orcid.org/0000-0002-6943-0602
Alexander J EckertInstitute of Epidemiology and Medical Biometry, Ulm University, Ulm, Germany. alexander.eckert@uni-ulm.de.ORCID http://orcid.org/0000-0002-8704-9549
Stéphane BesançonNGO Santé Diabète, Bamako, Mali and Unité PACRI, Conservatoire National des Arts et Métiers, Paris, France.ORCID http://orcid.org/0000-0002-3779-3441
Nancy A CrimminsDivision of Pediatric Endocrinology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.ORCID http://orcid.org/0000-0002-1338-9540
Fred CavalloEndocrinology Service, National Children's Hospital, San José, Costa Rica.ORCID http://orcid.org/0000-0002-6028-5285
Jaehyun KimDepartment of Pediatrics, Seoul National University Bundang Hospital, Seongnam, Korea.ORCID http://orcid.org/0000-0002-0203-7443
Craig JefferiesTe Whatu Ora, Health NZ, Starship Children's Health, Auckland, New Zealand.ORCID http://orcid.org/0000-0002-0541-6094
Evelien F GeversCentre for Endocrinology, William Harvey Research Instititute, Queen Mary University of London, London, UK.ORCID http://orcid.org/0000-0002-4397-4126
Anastasios VamvakisPediatric Endocrine Unit, 3rd Pediatric Department, Aristotle University, Hippokration General Hospital, Thessaloniki, Greece.ORCID http://orcid.org/0000-0001-8101-0857
Sejal ShahDivision of Pediatric Endocrinology, Stanford University, Stanford, CA, USA.ORCID http://orcid.org/0000-0003-0907-2185
Shazhan AmedDivision of Endocrinology, Department of Pediatrics, BC Children's Hospital, Vancouver, BC, Canada.ORCID http://orcid.org/0000-0001-5193-8582
Valentino CherubiniDepartment of Women's and Children's Health, Azienda Ospedaliero/Universitaria delle Marche, 'G. Salesi Hospital', Ancona, Italy.ORCID http://orcid.org/0000-0002-7664-1475
SWEET study group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aims/hypothesisThe diagnosis of type 2 diabetes is increasing in young people worldwide. This study evaluated the frequency and clinical characteristics of young people presenting with type 2 diabetes from the multinational SWEET e.V Registry 2012-2021, including the first years of the COVID-19 pandemic.

methodsThis is a longitudinal observational study based on the SWEET Registry, which collects demographic and clinical data on children and adolescents with diabetes from centres worldwide, with the diagnosis and classification of diabetes provided locally by each centre according to International Society for Paediatric and Adolescent Diabetes definitions. By July 2022, the SWEET Registry included 96,931 individuals from 130 centres with a total of 1,154,555 visits. Data were analysed by region: Europe (EU), Australia and New Zealand (AU/NZ), South America (SA), North America (NA) and Asia/Middle East and Africa (AS/AF). Trends in proportions for the two-year periods, calculated as cases with type 2 diabetes diagnoses over all cases with diabetes diagnoses, were estimated using logistic regression models adjusted for age at onset and sex.

resultsOverall, there were 2819 of 58,170 new cases (4.8%) with type 2 diabetes: 614 in EU, 293 in AU/NZ, 79 in SA, 1211 in NA and 622 in AS/AF. The proportion of type 2 diabetes increased from 3.2% to 6.0% from 2012/2013 to 2020/2021, a relative rate of increase of 9% per two-year period (95% CI 5.9, 12.3; p<0.001). In the two-year period of the COVID-19 pandemic, type 2 diabetes continued to follow the observed trend, with a proportion of 6.0% in 2020-2021 compared with 5.4% in 2018-2019. High variability in the proportion of type 2 diabetes was observed across regions, with the lowest values observed in EU and the highest in NA. A significant increase in the proportion of type 2 diabetes was observed in EU, AU/NZ and NA. The median HbA CONCLUSIONS/

interpretationThe multinational SWEET data from the years 2012 to 2021 inclusive support recent findings of a worldwide increase in type 2 diabetes in young people, albeit with regional differences. This increase highlights the need for ongoing preventive measures and available advanced treatment modalities worldwide.

Indexed as

COVID-19Diabetes Mellitus, Type 2RegistriesAdolescentAfricaAsiaAustraliaChildChild, PreschoolEuropeFemaleHumansLongitudinal StudiesMaleMiddle EastNew ZealandAdolescentsChildrenGeographical variabilityTemporal trendsType 2 diabetes

Identifiers

PMID39503771
PMCPMC11663186

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.