Increasing Incidence of Diabetes Mellitus Type 1 in Children – the Role of Environmental Factors
M. Mysliwiec1, A. Balcerska1, K. Zorena2, A. Jedrzejczyk1, E. Malinowska2,J. Mysliwska2
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1Institute of Pediatrics, Hematology, Oncology and Endocrinology,
2Department of Immunology, Medical University of Gdansk, Debinki 7, 80-952 Gdansk, Poland
Pol. J. Environ. Stud. 2007;16(1):109–112
The incidence of diabetes type 1, a chronic autoimmune disease, may reach the status of an epidemic in the 21st century. The highest incidence of diabetes in the world is observed in Finland. However, in the last 8 years a dynamic rise has been observed in Poland, moving the country toward an intermediate level incidence classification. Environmental factors seem to play a part in the observed increase in diabetes incidence both in Poland and in the world since, by acting on genetically predisposed ground prompt to auto-aggression, they may provoke disease occurrence. The study was carried out on a group of 511 children aged 0-15 years (255 girls and 256 boys). During the period of analysis (1998-2005) almost a two-fold increase in the diabetes incidence rate was observed (1998-10.4 vs 2005-20.4). The identification of all the factors increasing the risk of diabetes mellitus type 1 shall allow for understanding of diabetes ethiopathogenesis, and thus might create a chance for development of new prevention strategies.