Fishbein H A, Faich G A, Ellis S E
Diabetes Care. 1982 Nov-Dec;5(6):630-3. doi: 10.2337/diacare.5.6.630.
Data from a statewide insulin-dependent diabetes mellitus (IDDM) registry in Rhode Island show that IDDM affects young adults (20-29 yr) as frequently as adolescents and teenagers (10-19 yr). Overall incidence less than 30 yr was 14/100,000 population. Peak incidence occurred at 10-14 yr (19/100,000 population). Poor diabetic control and infection accounted for 46-62% of hospitalizations among 275 known diabetic persons. Despite a 10-yr mean duration of diabetes, only 31% of hospitalized diabetic persons less than 30 yr of age reported ever having received outpatient diabetes education of two or more hours. Readmissions 1 yr after initial registration were more frequent for known (43%) than new-onset (18%) IDDM cases. Increased risk of readmission for both groups was associated with a poverty socioeconomic status. Total direct hospitalization costs for IDDM in persons under 30 yr of age in Rhode Island was $530,000 per year of $2,245 per patient.
罗德岛一项全州范围的胰岛素依赖型糖尿病（IDDM）登记数据显示，IDDM对年轻人（20 - 29岁）的影响与青少年（10 - 19岁）一样频繁。30岁以下的总体发病率为每10万人中有14例。发病高峰出现在10 - 14岁（每10万人中有19例）。在275名已知糖尿病患者中，糖尿病控制不佳和感染占住院病例的46 - 62%。尽管糖尿病平均病程为10年，但30岁以下住院的糖尿病患者中，只有31%报告曾接受过两小时或更长时间的门诊糖尿病教育。已知IDDM病例（43%）初始登记1年后的再入院率高于新发病例（18%）。两组再入院风险增加都与贫困的社会经济地位有关。罗德岛30岁以下IDDM患者的直接住院总费用为每年53万美元，即每位患者2245美元。
