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>Rates of type 2 diabetes were 62% higher (IRR, 1.62) in 2020 to 2021 than in 2016 to 2019. The incidence of type 2 diabetes rose from 14.8 to 24.7 per 100,000

>Rates of type 2 diabetes were 62% higher (IRR, 1.62) in 2020 to 2021 than in 2016 to 2019. The incidence of type 2 diabetes rose from 14.8 to 24.7 per 100,000 person-years over that time. That is a huge jump. Is it possible there was more widespread testing of at risk populations? If they are simultaneously reporting no notable changes in average BMI, my knee jerk thought is populations cannot change that quickly.

belltaco 3y ago
> my knee jerk thought is populations cannot change that quickly. Covid went through the population quickly and has been known to heavily increase the chances of diabetes, so why would that be a surprise?
- deleted 3y ago
  [deleted]
pixl97 3y ago
Really the changes in type 1 of 18% should be far more alarming... > Type 1 diabetes rates climbed from 18.5 per 100,000 person-years in 2016 to 2019 to 22.4 per 100,000 person-years from 2020 to 2021. T1D is an immune system reaction, commonly caused by viral infection or other autoimmune disorder. If the correlation holds in T1D, then there is highly likely some correlation with the even larger increase in T2D, though lack of exercise will be a comorbidity here.
XorNot 3y ago
You can be a Type 2 diabetic for a fairly long time before you get a clinical diagnosis though. I wonder if the increased focused on health and seeing the doctor simply hit the throttle on a bunch of people getting the diagnosis sooner rather then later?
- haldujai 3y ago
  Yeah basically surveillance bias, it's mentioned as a possibility in the discussion. T2D feels like it could be a combination of both, there was certainly an increase in metabolic risk factors as well. The authors also mention acute stress response may have contributed to increased detection of previously undiagnosed diabetes. The continuing trend will be interesting to see. For example T1D in the 0-9 group reaches a 5 year low in Q4 2021. I think it's too early to conclude much, we'll better understand the ramifications of the pandemic and virus in another 2-5 years. > Within KPSC, while there were no initiatives for increased diabetes screening among at-risk patients, the shift to increased virtual care allowed for better electronic monitoring of patients’ health status, which may account for some additional patients with diabetes detected during the pandemic years. > Acute stress of SARS-CoV-2 infection has been shown to increase blood glucose levels, and individuals with previously undiagnosed diabetes may receive a diagnosis when presenting to hospitals for infection-related care.
haldujai 3y ago
> Is it possible there was more widespread testing Yes, they mention two variations of this possibility in the discussion. > If they are simultaneously reporting no notable changes in average BMI, Why would you expect average BMI of diabetics to change?

belltaco 3y ago

> my knee jerk thought is populations cannot change that quickly. Covid went through the population quickly and has been known to heavily increase the chances of diabetes, so why would that be a surprise?

deleted 3y ago
[deleted]

pixl97 3y ago

Really the changes in type 1 of 18% should be far more alarming... > Type 1 diabetes rates climbed from 18.5 per 100,000 person-years in 2016 to 2019 to 22.4 per 100,000 person-years from 2020 to 2021. T1D is an immune system reaction, commonly caused by viral infection or other autoimmune disorder. If the correlation holds in T1D, then there is highly likely some correlation with the even larger increase in T2D, though lack of exercise will be a comorbidity here.

XorNot 3y ago

You can be a Type 2 diabetic for a fairly long time before you get a clinical diagnosis though. I wonder if the increased focused on health and seeing the doctor simply hit the throttle on a bunch of people getting the diagnosis sooner rather then later?

haldujai 3y ago
Yeah basically surveillance bias, it's mentioned as a possibility in the discussion. T2D feels like it could be a combination of both, there was certainly an increase in metabolic risk factors as well. The authors also mention acute stress response may have contributed to increased detection of previously undiagnosed diabetes. The continuing trend will be interesting to see. For example T1D in the 0-9 group reaches a 5 year low in Q4 2021. I think it's too early to conclude much, we'll better understand the ramifications of the pandemic and virus in another 2-5 years. > Within KPSC, while there were no initiatives for increased diabetes screening among at-risk patients, the shift to increased virtual care allowed for better electronic monitoring of patients’ health status, which may account for some additional patients with diabetes detected during the pandemic years. > Acute stress of SARS-CoV-2 infection has been shown to increase blood glucose levels, and individuals with previously undiagnosed diabetes may receive a diagnosis when presenting to hospitals for infection-related care.

haldujai 3y ago

> Is it possible there was more widespread testing Yes, they mention two variations of this possibility in the discussion. > If they are simultaneously reporting no notable changes in average BMI, Why would you expect average BMI of diabetics to change?