ISSN 1662-4009 (online)

ey0021.12-1 | Concerns in T2D | ESPEYB21

12.1. Major adverse events in youth-onset type 1 and type 2 diabetes: the SEARCH and TODAY studies

AK Mottl , JB Tryggestad , S Isom , RA Gubitosi-Klug , L Henkin , NH White , Jr D'Agostino R , KS Hughan , LM Dolan , KL Drews

Brief Summary: This longitudinal observational study combined data from the SEARCH (T1D: N=564; T2D: N=149) and TODAY studies (T2D: N=495). Complications were higher in those with childhood onset T2D compared to T1D, with T2D showing 2.5 to 4 times higher rates of microvascular, macrovascular events despite similar diabetes duration. Risk factors for complications differed between T2D and T1D, with mean arterial pressure being a common predictor for both.<p class="abstext"...

ey0021.12-7 | Genetics of T2D in Children and Adolescents | ESPEYB21

12.7. Genetic architecture and biology of youth-onset type 2 diabetes

SH Kwak , S Srinivasan , L Chen , J Todd , JM Mercader , ET Jensen , J Divers , AK Mottl , C Pihoker , RG Gandica , LM Laffel , E Isganaitis , MW Haymond , LL Levitsky , TI Pollin , JC Florez , J Flannick

Brief Summary: Rare forms of diabetes (‘monogenic diabetes’) are caused by a single rare gene variant, while adult-onset T2D is influenced by thousands of common genetic variants. This study reveals that youth-onset T2D shares some genetic features with both monogenic and typical adult-onset T2D, marked by both common and rare genetic variantsComment: A significant challenge is understanding why the course of T2D in children and teenagers is mo...